Individual
AMBER LEA KOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9988 HWY 281, DUNSEITH, ND 58329
(701) 263-6573
Mailing address
9988 HWY 281, DUNSEITH, ND 58329
(701) 263-6573
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464193
—
ND
Enumeration date
10/29/2020
Last updated
11/30/2020
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