Individual
AMANDA RENEE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4652 PARADISE RD, SEVILLE, OH 44273
(330) 933-0190
Mailing address
4652 PARADISE RD, SEVILLE, OH 44273-9356
(330) 933-0190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.326242
OH
Other
Enumeration date
06/15/2018
Last updated
10/17/2019
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