Individual
AMANDA J PATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
Mailing address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87527
WV
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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