Individual
MS. AMY DIANE ROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
(440) 260-8214
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
(440) 260-8214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.362097
OH
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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