Individual
AMY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 BALLENGEE ST, HINTON, WV 25951-2244
(304) 252-3394
Mailing address
422 BALLENGEE ST, HINTON, WV 25951-2244
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
06/28/2021
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