Individual
AMANDA GRACE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22652 470TH AVE, COLMAN, SD 57017-6830
(605) 864-8251
Mailing address
22652 470TH AVE, COLMAN, SD 57017-6830
(605) 864-8251
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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