Individual
MISS AMY E PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3738 ELLERDALE DR, GAHANNA, OH 43230-4089
(614) 898-7163
Mailing address
3738 ELLERDALE DR, GAHANNA, OH 43230-4089
(614) 898-7163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 123270- IV
OH
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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