Individual
AMANDA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2293 RAYSAL HOLLOW RD, RAYSAL, WV 24879-8125
(304) 967-1125
Mailing address
PO BOX 26, RAYSAL, WV 24879-0026
(304) 967-1125
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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