Individual
AMANDA KYRENE GENDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 GHOLSON AVE # 7, CINCINNATI, OH 45229-2303
(513) 817-7953
Mailing address
661 GHOLSON AVE # 7, CINCINNATI, OH 45229-2303
(513) 817-7953
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
400976630909
OH
3747P1801X
Personal Care Attendant
Primary
400976630909
OH
374U00000X
Home Health Aide
400976630909
OH
376K00000X
Nurse's Aide
400976630909
OH
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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