Individual
AMANDA TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 MOUNTAIN QUAIL RUN, HARPERS FERRY, WV 25425-5231
(304) 886-0368
Mailing address
86 MOUNTAIN QUAIL RUN, HARPERS FERRY, WV 25425-5231
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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