Individual
AMANDA DAWN SITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 FLOWING SPRINGS RD, SHENANDOAH JUNCTION, WV 25442-4712
(304) 725-8491
Mailing address
4141 FLOWING SPRINGS RD, SHENANDOAH JUNCTION, WV 25442-4712
(304) 725-8491
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3178
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9705102000
—
WV
Enumeration date
03/20/2008
Last updated
03/20/2008
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