Individual
AMY VIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ASSOCIATION DR STE 130, CHARLESTON, WV 25311-1277
(304) 988-4200
Mailing address
200 ASSOCIATION DR STE 130, CHARLESTON, WV 25311-1277
(304) 988-4200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
09/17/2021
Last updated
07/17/2023
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