Amanda Lynn Wagner

NPI #1932707072 in Clyde, Ohio

Provider Information

NPI Number
1932707072
Entity Type
Individual
Name
Amanda Lynn Wagner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Enumeration Date
Oct 12, 2020
Last Updated
Oct 12, 2020

Practice Location

Address
158 FAIRHOME AVE
City
Clyde
State
Ohio
ZIP Code
43410-2006
Phone
(419) 603-6721

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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