Individual
AMANDA M MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10701 EAST BLVD, WADE PARK PRIMARY CARE #1A-127, CLEVELAND, OH 44106
(216) 791-3800
(216) 229-2327
Mailing address
164 SUNNYCLIFF DR, EUCLID, OH 44123-1138
(541) 913-9793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
145869
OH
164W00000X
Licensed Practical Nurse
15957
ID
164W00000X
Licensed Practical Nurse
201709187LPN
OR
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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