Individual
AMANDA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN368825
OH
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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