Jericka Lee Amendt, SPECIALISTSA14042
Jericka Lee Amendt, SPECIALISTSA14042 is a Specialist in Hudson, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
67 Deerwood CtHudson, WI 54016-7734
Phone: (612) 325-4470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1639863038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SPECIALISTSA14042 |
| Sole proprietor | Yes |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
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