Individual
AMANDA JANSZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2711
(937) 208-8000
Mailing address
3737 SOUTHERN BLVD, KETTERING, OH 45429-1262
(937) 395-8601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009022RX
OH
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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