Individual
AMY LEIGH BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3916 PETRE RD, SPRINGFIELD, OH 45502-8751
(937) 325-4742
Mailing address
3916 PETRE RD, SPRINGFIELD, OH 45502-8751
(937) 325-4742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.116727-M-IV
OH
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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