Individual
AMANDA LEIGH MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 W 11TH ST, LORAIN, OH 44052-1520
(440) 752-8520
Mailing address
1241 W 11TH ST, LORAIN, OH 44052-1520
(440) 752-8520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
390142
OH
Other
Enumeration date
09/14/2011
Last updated
01/04/2016
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