MISS Amanda Nicole Nelson, COSMETIC THERAPIST

NPI #1992336770 in Chardon, Ohio

Provider Information

NPI Number: 1992336770
Entity Type: Individual
Name: MISS Amanda Nicole Nelson, COSMETIC THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: COSMETIC THERAPIST
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 133 UP MAIN ST
City: Chardon
State: Ohio
ZIP Code: 44024
Phone: (440) 487-8493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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