Individual
AMBER STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 MAPLE ACRES ROAD, BLUEFIELD, WV 24801
(304) 887-5036
Mailing address
PO BOX 1616, PRINCETON, WV 24740-1616
(304) 887-5036
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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