Individual
MISS AMANDA LYNN SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2041 RICHFIELD DR, KETTERING, OH 45420-2011
(740) 418-6655
Mailing address
2041 RICHFIELD DR, KETTERING, OH 45420-2011
(740) 418-6655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.150154
OH
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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