Individual
MS. AMANDA JONETTE LARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13969 GERMAN CHURCH RD, ATWATER, OH 44201-9016
(330) 206-7249
Mailing address
206 W VINE ST, ALLIANCE, OH 44601-1339
(330) 206-7249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
172225
OH
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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