Individual
AMANDA LEE MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82 JOES CREEK, SOD, WV 25564
(304) 524-7610
Mailing address
PO BOX 63, SUMERCO, WV 25567-0063
(304) 524-7610
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/08/2023
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