Individual
SHAUNTE AMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1829 AIRPORT HWY, TOLEDO, OH 43609-2006
(419) 283-8772
Mailing address
1829 AIRPORT HWY, TOLEDO, OH 43609-2006
(419) 283-8772
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TC458677
OH
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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