Individual
AMANDA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2711
(304) 455-5515
Mailing address
328 TIMBER WOLF DR, CAMERON, WV 26033-1988
(304) 280-3797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
40458
WV
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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