Individual
AMANDA D ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
975 KINGSVIEW DR, BLDG B, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7857
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-159950-MEDS
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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