Individual
AMANI RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
Mailing address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024427
OH
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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