Individual
AMY VICTORIA JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 POPLAR ST, KENOVA, WV 25530-1530
(304) 453-4992
Mailing address
820 POPLAR ST, KENOVA, WV 25530-1530
(304) 453-4992
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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