Individual
AMANDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71200 KAGG HILL RD, SAINT CLAIRSVILLE, OH 43950-9606
(740) 827-0628
Mailing address
PO BOX 74, GLENCOE, OH 43928-0074
(704) 827-0628
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324574
—
OH
Enumeration date
09/15/2020
Last updated
09/15/2020
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