Individual
MRS. AMANDA IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5852 SUMMER PLACE DR, SYLVANIA, OH 43560-4245
(419) 304-1103
Mailing address
5852 SUMMER PLACE DR, SYLVANIA, OH 43560-4245
(419) 304-1103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.372680
OH
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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