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Jericka Lee Amendt, SPECIALISTSA14042
Specialist in Hudson, Wisconsin
NPI 1639863038

Jericka Lee Amendt is a Specialist based in Hudson, WI. Jericka Lee Amendt practices in Hudson, WI and has the professional credentials of SPECIALISTSA14042. The NPI Number for Jericka Lee Amendt is 1639863038 and holds a License No. (Wisconsin).

The current practice location address for Jericka Lee Amendt is 67 Deerwood Ct, Hudson, WI and can be reached out via phone at 612-325-4470.

Location: 67 Deerwood Ct, Hudson, WI, 54016-7734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639863038
Provider Name
Jericka Lee Amendt
Credential
SPECIALISTSA14042
Provider Entity Type
Individual
Gender
Female
Address
67 Deerwood Ct, Hudson, WI, 54016-7734
Phone Number
612-325-4470
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
67 Deerwood Ct
City
Hudson
State
Wisconsin
Zip
54016-7734
Phone Number
612-325-4470
Fax Number
person
Provider Business Mailing Address Details
Address
67 Deerwood Ct
City
Hudson
State
Wisconsin
Zip
54016-7734
Phone Number
612-325-4470
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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