Individual
AMANDA PANGALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-0763
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-0763
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.139055.MEDS-IV
OH
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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