Individual
AMBER N TACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 TRAP SPRINGS RD, GRAFTON, WV 26354-7711
(304) 265-4555
(304) 265-6083
Mailing address
52 TRAP SPRINGS RD, GRAFTON, WV 26354-7711
(304) 265-4555
(304) 265-6083
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/11/2025
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