Individual
MS. AMBER LYNEE GRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1532 23RD AVE S, WISCONSIN RAPIDS, WI 54495-5638
(715) 819-3388
Mailing address
1532 23RD AVE S, WISCONSIN RAPIDS, WI 54495-5638
(715) 819-3388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311766
WI
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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