Individual
AMANDA LEE TULACHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-1551
Mailing address
8271 BLUE HERON LN, CANFIELD, OH 44406-9134
(304) 642-3393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/11/2022
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