Individual
AMANDA LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
850 N STATE ROUTE 589, CONOVER, OH 45317-9506
(937) 638-4169
Mailing address
850 N STATE ROUTE 589, CONOVER, OH 45317-9506
(937) 638-4169
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122678
OH
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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