Individual
MISS AMBER ROSE DIVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
699 E SMITH RD, MEDINA, OH 44256-2639
(330) 721-7001
(330) 721-2366
Mailing address
5 CARVER DR, MEDINA, OH 44256-1307
(440) 521-4275
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN.402885
OH
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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