Individual
MS. AMIE MARIE PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 MARKET AVE S, CANTON, OH 44702-2165
(330) 489-4600
Mailing address
410 18TH ST NW, CANTON, OH 44703-1328
(330) 418-2314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
159959
OH
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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