Individual
AMANDA KONTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5070 LANDVIEW DR, DUBLIN, OH 43016-8390
(419) 937-3389
Mailing address
5070 LANDVIEW DR, DUBLIN, OH 43016
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
356275
OH
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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