Individual
AMANDA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN113125.MEDS-IV
OH
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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