Individual
AMANDA NICOLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GARVIN AVE, CHARLESTON, WV 25302-2500
(304) 552-3049
Mailing address
701 GARVIN AVE, CHARLESTON, WV 25302-2500
(304) 552-3049
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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