Individual
AMY NICOLE CANNON-SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 CANDY LN, WELCH, WV 24801-2036
(220) 240-1066
Mailing address
24 CANDY LN, WELCH, WV 24801-2036
(220) 240-1066
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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