Individual
AMANDA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 E MARKET ST, AKRON, OH 44305-2422
(330) 315-3706
Mailing address
702 E MARKET ST, AKRON, OH 44305-2422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.137466-M-IV
OH
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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