Individual
AMANDA J DUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
407 S EDWARDS ST, ALTAMONT, IL 62411-1701
(618) 483-5171
Mailing address
7 S EWING ST, ALTAMONT, IL 62411-1265
(618) 483-6195
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041413178
IL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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