Individual
AMBER SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1349
(304) 645-6226
(304) 645-9850
Mailing address
248 RED OAKS SHOPPING CENTER, BECKLEY, WV 25801
(304) 645-6226
(304) 645-9850
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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