Individual
AMANDA SUE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 W MAIN ST, RAVENNA, OH 44266-2723
(330) 389-3965
Mailing address
624 W MAIN ST, RAVENNA, OH 44266-2723
(330) 389-3965
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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