Individual
AMANDA NICOLE OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CEDAR DR, ALDERSON, WV 24910
(304) 646-0202
Mailing address
PO BOX 184, ALDERSON, WV 24910-0184
(304) 646-0202
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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