Individual
AMBER JADE DESIREE LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 TUCKERS CREEK RD, ELIZABETH, WV 26143-8085
(681) 660-7792
Mailing address
1123 TUCKERS CREEK RD, ELIZABETH, WV 26143-8085
(681) 660-7792
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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