Individual
MRS. AMANDA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
9180 STATE ROUTE 28, FRANKFORT, OH 45628-9573
(740) 645-7779
Mailing address
9180 STATE ROUTE 28, FRANKFORT, OH 45628-9573
(740) 645-7779
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376K00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649487
—
OH
Enumeration date
05/07/2007
Last updated
07/08/2007
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