Individual
MS. AMY JANEEN KANELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 RALPHWOOD DR, TOLEDO, OH 43613-1228
(419) 902-2402
Mailing address
2726 RALPHWOOD DR, TOLEDO, OH 43613-1228
(419) 902-2402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN114378
OH
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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