MS. Amanda Irene Fultz

NPI #1609161389 in Enon, Ohio

Provider Information

NPI Number
1609161389
Entity Type
Individual
Name
MS. Amanda Irene Fultz
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 10, 2011
Last Updated
Jun 10, 2011

Practice Location

Address
6654 NEW HORIZON AVE
City
Enon
State
Ohio
ZIP Code
45323-1450
Phone
(937) 450-5811

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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