Individual
MISS AMANDA NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETIC THERAPIST
Contact information
Practice address
133 UP MAIN ST, CHARDON, OH 44024
(440) 487-8493
Mailing address
181 HICKORY HILL RD, PAINESVILLE, OH 44077-5137
(440) 487-8493
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
32019195
OH
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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