Individual
MISS AMANDA LEIGH QUISNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1920 TAMARACK RD, NEWARK, OH 43055-2303
(740) 344-8286
Mailing address
1920 TAMARACK RD, NEWARK, OH 43055-2303
(419) 266-1280
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
003730
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
05/03/2021
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