Individual
AMANDA LEIGH NAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, EUREKA, NV 89316-1513
(218) 838-2103
Mailing address
250 S MAIN ST, EUREKA, NV 89316-1513
(218) 838-2103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10061
NV
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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