Individual
AMANDA S MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AVENUE C BLDG SUITE109, MADISON, WV 25130-1100
(304) 369-6400
Mailing address
1 AVENUE C BLDG SUITE109, MADISON, WV 25130-1100
(304) 369-6400
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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