NPI Profile for AMANDA M WASSENAAR in RAPID CITY, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Technologist |
246QM0706X |
| NPI Number | 1740951128 |
|
| Status | Active | |
| Credentials | MLS | |
| Entity | Individual | |
| Enumeration date | 09/24/2021 | |
| Last updated | 09/24/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AMANDA M WASSENAAR
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