Individual
MISS AMANDA J. SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1663 MAYFIELD AVE, YOUNGSTOWN, OH 44509-2838
(330) 550-1091
Mailing address
1663 MAYFIELD AVE, YOUNGSTOWN, OH 44509-2838
(330) 550-1091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.120398-MEDS
OH
Other
Enumeration date
05/25/2009
Last updated
05/25/2009
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