Individual
AMANDA NICOLE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7842 DIAN AVE, FRANKLIN, OH 45005-4102
(937) 478-9068
Mailing address
7842 DIAN AVE, FRANKLIN, OH 45005-4102
(937) 478-9068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.126873-M-IV
OH
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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