Individual
AMANDA MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7391 ROMAN AVE NW, MASSILLON, OH 44646-7524
(330) 575-2561
Mailing address
7391 ROMAN AVE NW, MASSILLON, OH 44646-7524
(330) 575-2561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226115
OH
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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