Individual
AMY M WOLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12523 N PALMYRA RD, NORTH JACKSON, OH 44451-9727
(330) 397-6166
Mailing address
12523 N PALMYRA RD, NORTH JACKSON, OH 44451-9727
(330) 397-6166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.138492-M-IV
OH
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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