Individual
AMANDA DAWN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 HILLTOP AVE, KEYSER, WV 26726-2627
(304) 813-1718
Mailing address
325 HILLTOP AVE, KEYSER, WV 26726-2627
(304) 813-1718
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0205-48840
WV
3747P1801X
Personal Care Attendant
020548840
WV
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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