Individual
AMANDA DANIELLE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
111 GREEN MEADOW CT, FRANKLIN, OH 45005-4560
(513) 292-0868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
130679.MEDS-IV
OH
Other
Enumeration date
02/09/2018
Last updated
10/25/2023
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