Individual
AMANDA L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2399 ROUSH HILL RD., MANCHESTER, OH 45144-9130
(937) 549-1728
Mailing address
2399 ROUSH HILL RD., PO BOX 83, MANCHESTER, OH 45144-9130
(937) 549-1728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.123688-M-IV
OH
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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