Organization
AMAYLA EMPOWERMENT ASSOCIATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FALKERS (CO-OWNER)
(608) 377-3864
Entity
Organization
Contact information
Practice address
435 JULIE ST STE 2, TOMAH, WI 54660-2924
(608) 377-3864
Mailing address
435 JULIE ST STE 2, TOMAH, WI 54660-2924
(608) 377-3864
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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