Individual
AMANDA L MISENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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