Individual
AMANDA NICOLE MENDICINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 W MARKET ST STE 101, LIMA, OH 45801-5604
(419) 222-1527
Mailing address
658 W MARKET ST STE 101, LIMA, OH 45801-5604
(419) 222-1527
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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