Individual
MRS. AMANDA FAY DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 W SATIN ST, JEFFERSON, OH 44047-1339
(440) 813-7463
Mailing address
134 W SATIN ST, JEFFERSON, OH 44047-1339
(440) 813-7463
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.384623
OH
Other
Enumeration date
09/16/2012
Last updated
09/16/2012
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