Amayla Empowerment Association, Llc | |
435 Julie St Ste 2 Tomah WI 54660-2924 | |
(608) 377-3864 | |
Not Available |
Full Name | Amayla Empowerment Association, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 435 Julie St Ste 2, Tomah, Wisconsin |
Authorized Official Name and Position | Amanda Falkers (CO-OWNER) |
Authorized Official Contact | 6083773864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amayla Empowerment Association, Llc 435 Julie St Ste 2 Tomah WI 54660-2924 Ph: (608) 377-3864 | Amayla Empowerment Association, Llc 435 Julie St Ste 2 Tomah WI 54660-2924 Ph: (608) 377-3864 |
NPI Number | 1659065530 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 06/05/2023 |
Identifier | Type | State | Issuer |
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1659065530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Gl Tomah Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-782-7300 |