Individual
AMANDA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Mailing address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN146141.MEDS-IV
OH
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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