Individual
AMANDA ODELL PISINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3352 INDEPENDENCE RD, INDEPENDENCE, WV 26374-8048
(304) 996-4107
Mailing address
3352 INDEPENDENCE RD, INDEPENDENCE, WV 26374-8048
(304) 996-4107
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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