Individual
AMANDA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 3RD ST SW, PERHAM, MN 56573-1152
(218) 214-9950
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
10/01/2018
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