Amanda Wilson

NPI #1760868723 in Buckeye Lake, Ohio

Provider Information

NPI Number: 1760868723
Entity Type: Individual
Name: Amanda Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jul 31, 2015
Last Updated: Jul 31, 2015

Practice Location

Address: 34 W 5TH ST
City: Buckeye Lake
State: Ohio
ZIP Code: 43008
Phone: (740) 281-9617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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