Individual
AMANDA MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
10 TOWNSHIP ROAD 1144, PROCTORVILLE, OH 45669-8554
(304) 416-3253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
488306
OH
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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