Individual
AMANDA RENE GRUNKEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 SCOTT ST, CRESTLINE, OH 44827-1573
(614) 420-6725
Mailing address
417 SCOTT ST, CRESTLINE, OH 44827-1573
(161) 442-0672
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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