Individual
AMANDA KATHERINE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(800) 828-0898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005639RX
OH
Other
Enumeration date
08/18/2018
Last updated
09/08/2021
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