Individual
AMANDA E FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDN, RN, LD
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4753
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10204
OH
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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