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Amy Jean Lake

Emergency Medical Technician, Intermediate in Winnemucca, NV. Individual provider (NPI-1).

NPI number1265098511
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1265098511
Entity type
Individual (NPI-1)
Name
Amy Jean Lake
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2019
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
146M00000X Emergency Medical Technician, Intermediate76256NVYes

Practice location

118 E Haskell St
Winnemucca, NV 89445-3247

Phone 775-623-5222

Mailing address

118 E Haskell St
Winnemucca, NV 89445-3247

Phone 775-623-5222

Other practice locations

118 E Haskell St
Winnemucca, NV 89445-3247

Phone 775-623-5222

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Other Intermediate Emergency Medical Technician providers in Winnemucca, NV

All 5 Intermediate Emergency Medical Technician providers in Winnemucca · All 235 providers in Winnemucca

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