Individual
AMANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 ROUTE 49, MATEWAN, WV 25678-7837
(304) 426-4899
Mailing address
PO BOX 298, MATEWAN, WV 25678-0298
(304) 426-4899
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
06/24/2021
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