Individual
AMANDA JO MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5160 TRACE FORK RD, SANDYVILLE, WV 25275-6619
(304) 531-5720
Mailing address
5160 TRACE FORK RD, SANDYVILLE, WV 25275-6619
(304) 531-5720
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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