Individual
AMY DAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4874 CABIN CREEK ROAD, CHARLESTON, WV 25134
(681) 799-0334
Mailing address
4874 CABIN CREEK ROAD, 4874 CABIN CREEK ROAD, MIAMI, WV 25134-0277
(681) 799-0334
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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