Amy Lynn Wourms LD

NPI 1487994695 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1487994695
Gender Female
Enumeration Date 02/25/2013
Last Updated 02/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
625 EDEN PARK DR
SUITE 315
CINCINNATI OH, 45202-6005, US
Phone (513) 585-3401
Fax
Business Location
2147 MADISON RD
APT. 11
CINCINNATI OH, 45208-3260, US
Phone (419) 571-8854
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Ohio
License Number LD.7107
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According to our database, Ms. Amy Lynn Wourms LD NPI is 1487994695, taxonomy code is 133V00000X and license number is LD.7107, license state is located at Ohio. Amy Lynn Wourms LD physically located at 625 Eden Park Dr, Cincinnati OH, 45202-6005. NPI Number Amy Lynn Wourms LD has the Individual type.

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1487994695 NPI number is provided on an as is basis without warranty of any kind. 1487994695 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Lynn Wourms LD are for informational purposes only.