Individual
SUSAN AMIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 LEEWARD LN, WILLOUGHBY, OH 44094-7007
(440) 376-5989
Mailing address
1245 LEEWARD LN, WILLOUGHBY, OH 44094-7007
(440) 376-5989
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
4301222
OH
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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