Individual
AMBER BORDOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 FAYETTE ST, CLINTON, IA 52732-7111
(563) 241-2969
Mailing address
145 FAYETTE ST, CLINTON, IA 52732-7111
(563) 241-2969
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
800ZZ2764
IA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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