Individual
AMBERA J DILLISTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 US ROUTE 60 W, MILTON, WV 25541-1112
(304) 743-8160
Mailing address
1707 US ROUTE 60 W, MILTON, WV 25541-1112
(304) 743-8160
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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