Individual
AMANDA J HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9955 UNION RIDGE RD, ROGERS, OH 44455-9763
(330) 953-0243
Mailing address
9955 UNION RIDGE RD, ROGERS, OH 44455-9763
(330) 953-0243
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165890
OH
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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