Individual
AUNYE DINA AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4108 ENDICOTT CT, SWANSEA, IL 62226-8210
(618) 222-1476
Mailing address
4108 ENDICOTT CT, SWANSEA, IL 62226-8210
(618) 222-1476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020014284
MO
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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