Individual
MRS. AMANDA K BRUCKELMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11880 LANCASTER ST, MILLERSPORT, OH 43046
(614) 582-5603
Mailing address
PO BOX 206, MILLERSPORT, OH 43046-0206
(614) 582-5603
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/08/2023
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