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Amber Lea Kom

Technician, Personal Care Attendant in Dunseith, ND. Individual provider (NPI-1).

NPI number1982204863
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1982204863
Entity type
Individual (NPI-1)
Name
Amber Lea Kom
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 29, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant–NDYes

Practice location

9988 Hwy 281
Dunseith, ND 58329

Phone 701-263-6573

Mailing address

9988 Hwy 281
Dunseith, ND 58329

Phone 701-263-6573

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