Individual
AMANDA MARIE BUZZETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NORTH JEFFERSON STREET, LEWISBURG, WV 24901-2490
(800) 356-7836
Mailing address
1029 WASHINGTON ST E # B, LEWISBURG, WV 24901-2521
(407) 401-4130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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