Individual
AMANDA FAYE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 POPLAR RIDGE RD, SUTTON, WV 26601-3851
(304) 701-8463
Mailing address
609 POPLAR RIDGE RD, SUTTON, WV 26601-3851
(304) 701-8463
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
05/09/2022
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