Individual
ANTHONY JOSEPH AMICUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8430 RIDGE RD, KINSMAN, OH 44428-9577
(330) 979-9918
Mailing address
8430 RIDGE RD, KINSMAN, OH 44428-9577
(330) 979-9918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
419931
OH
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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