Individual
AMY DAWN CLEMENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 STERLING DR, NORTH BALTIMORE, OH 45872-9508
(419) 257-2421
Mailing address
9470 KUNKLER RD, BLOOMDALE, OH 44817-9710
(567) 208-8007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LPN.142189.MEDS-IV
OH
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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