AMANDA RENEE' GROOMS

WAVERLY, OH
NPI1235473034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.126849IV)
Enumeration Date2012-11-16
Last Update Date2012-11-16
Business Address
-- AMANDA RENEE' GROOMS
102 1ST AVE
WAVERLY, OH 45690-1101
Phone number: 740-708-3920
Mailing Address
-- AMANDA RENEE' GROOMS
102 1ST AVE
WAVERLY, OH 45690-1101
Phone number: 740-708-3920