Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W CAROLINE ST, PAULDING, OH 45879-1258
(419) 371-1689
Mailing address
220 W CAROLINE ST, PAULDING, OH 45879-1258
(419) 371-1689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.142948
OH
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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