Individual
AMANDA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2700 EAST 96TH STREET, CLEVELAND, OH 44104
(216) 791-7640
Mailing address
2700 EAST 96TH STREET, CLEVELAND, OH 44104
(216) 791-7640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 103946
OH
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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