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Individual

AMANDA MARIE MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6412 CARTER BLVD, MENTOR, OH 44060-3515
(440) 571-2315
Mailing address
6412 CARTER BLVD, MENTOR, OH 44060-3515
(440) 571-2315

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
UX961006
OH

Other

Enumeration date
05/19/2023
Last updated
05/19/2023
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