Individual
AMANDA SUE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8040 UPPER TWIN RD, SOUTH SALEM, OH 45681-9732
(740) 253-4146
Mailing address
8040 UPPER TWIN RD, SOUTH SALEM, OH 45681-9732
(740) 253-4146
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/08/2023
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