Individual
AMANDA DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 553-0010
Mailing address
3544 4TH AVE APT 4, HUNTINGTON, WV 25702-2038
(304) 881-6825
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
WV
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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