Individual
MISS AMANDA RENEE REDFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002844
OH
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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