| NPI | 1356594758 |
|---|---|
| Former Name | AMANDA GENEVA COX - DEATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.129113.MEDS-IV) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-07-24 |