Individual
AMANDA TAWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 GRANT LN, BUCKHANNON, WV 26201-3995
(304) 838-6060
Mailing address
114 GRANT LN, BUCKHANNON, WV 26201-3995
(304) 838-6060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35075
WV
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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