Individual
AUDRA MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8263 COLUMBIA RD, KINGS MILLS, OH 45034-1746
(151) 339-8050
Mailing address
8365 FERRY RD, WAYNESVILLE, OH 45068-8952
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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