Individual
AMANDA SUE BRYNILDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 HIGHLAND LN, JULIAN, WV 25529-9401
(681) 471-5219
Mailing address
56 HIGHLAND LN, JULIAN, WV 25529-9401
(681) 471-5219
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/14/2023
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