Individual
AMANDA MICHELLE STREETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 8TH ST, ELYRIA, OH 44035-5830
(440) 412-8176
Mailing address
333 8TH ST, ELYRIA, OH 44035-5830
(440) 412-8176
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602549470323
OH
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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