Individual
LEIA AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 UPPER COLLISON CREEK RD, POOL, WV 26684-9767
(304) 619-1705
Mailing address
PO BOX 202, MOUNT NEBO, WV 26679-0202
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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