Individual
MRS. AMANDA CAITLIN BRENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47465 TOWNSHIP ROAD 198, COSHOCTON, OH 43812
(740) 610-3679
Mailing address
47465 TOWNSHIP ROAD 198, COSHOCTON, OH 43812
(740) 610-3679
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
OH
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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