Individual
MRS. AMANDA LOUISE RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(740) 375-2021
Mailing address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(740) 375-2021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 5620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487784948
NPI
OH
05
—
2594189
—
OH
Enumeration date
02/05/2008
Last updated
07/03/2012
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