Individual
AMANDA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 533-1870
(330) 533-3484
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-2310
(330) 759-0018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148807
OH
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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