Individual
AMBER DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N GREEN ST, CLARKS, NE 68628-2757
(308) 940-2349
Mailing address
405 N GREEN ST, CLARKS, NE 68628-2757
(308) 940-2349
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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