Individual
AMANDA RENEE CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6979 HIGH MILL AVE NW, CANAL FULTON, OH 44614-9344
(330) 309-1018
Mailing address
6979 HIGH MILL AVE NW, CANAL FULTON, OH 44614-9344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN149249
OH
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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