NPI 1740951128
Amanda Michelle Wassenaar, MLS
Practice location
- Address
- 3200 Canyon Lake Dr STE 1, Rapid City, SD 57702-8114
- Phone
- (605) 355-2227
- Mailing address
- 5260 Basswood St, Rapid City, SD 57703-6500
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1740951128
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Sep 2021
- Record last updated
- 24 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.