Amy Jean Lake

NPI #1265098511 in Winnemucca, Nevada

Provider Information

NPI Number
1265098511
Entity Type
Individual
Name
Amy Jean Lake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medical Technician, Intermediate
Enumeration Date
May 13, 2019
Last Updated
May 13, 2019

Practice Location

Address
118 E HASKELL ST
State
Nevada
ZIP Code
89445-3247
Phone
(775) 623-5222

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Intermediate

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