Individual
AMBER LEE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W RIVER RD N APT B3, ELYRIA, OH 44035-2866
(440) 453-3263
Mailing address
1201 W RIVER RD N APT B3, ELYRIA, OH 44035-2866
(440) 453-3263
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RL096092
OH
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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