Individual
AMANDA DAWN BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 TELETECH DR, MOUNDSVILLE, WV 26041-2790
(304) 843-3379
Mailing address
2132 SHORTLINE HWY, NEW MARTINSVILLE, WV 26155-8406
(304) 843-3379
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30833
WV
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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