Individual
AIMEE VANDERMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25701 JAMESTOWN ST NE, ISANTI, MN 55040-4601
(763) 213-6120
Mailing address
25701 JAMESTOWN ST NE, ISANTI, MN 55040-4601
(763) 213-6120
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1057772
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182117
UCARE
—
Enumeration date
06/24/2010
Last updated
06/24/2010
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