Individual
AMY REAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
520 PROSPECT ST, BUCYRUS, OH 44820-2827
(419) 205-4054
Mailing address
520 PROSPECT ST, BUCYRUS, OH 44820-2827
(419) 205-4054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN125191
OH
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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