Individual
MRS. AMANDA DAWN MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
529 EAST MAIN ST, BRIDGEPORT, WV 26330
(304) 842-4202
Mailing address
RR 1 BOX 126H, BRIDGEPORT, WV 26330-9342
(304) 838-5651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2006-2253
WV
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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