Individual
AMY M VERVALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 S EDWIN C MOSES BLVD, 4TH FLOOR NW BUILDING, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN MOSES BLVD, 4TH FLOOR NW BUILDING, DAYTON, OH 45417-3424
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN163391
OH
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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