Individual
AMBER FEDDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
459 WALDEN AVE, NEWCASTLE, WY 82701-2161
(307) 941-1611
(888) 326-6432
Mailing address
459 WALDEN AVE, NEWCASTLE, WY 82701-2161
(307) 941-1611
(888) 326-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
WY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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