Individual
AMANDA WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9955 UNION RIDGE RD, ROGERS, OH 44455-9763
(330) 953-3300
Mailing address
9955 UNION RIDGE RD, ROGERS, OH 44455-9763
(330) 953-3300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.151484.MEDS-IV
OH
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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