Individual
AMANDA GAYLE FITHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 FIRST ST, CHARMCO, WV 25958
(304) 228-7321
Mailing address
PO BOX 153, CHARMCO, WV 25958-0153
(304) 228-7321
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
01/10/2023
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