Individual
AMANDA RAE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
#1 FIFTH STREET, ELKINS, WV 26241
(304) 636-4747
(304) 636-7724
Mailing address
PO BOX 727, ELKINS, WV 26241-0727
(304) 636-4747
(304) 636-7724
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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