Individual
AMANDA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 4TH AVE STE 1, SOUTH CHARLESTON, WV 25303-1266
(304) 744-4940
Mailing address
PO BOX 811, CABIN CREEK, WV 25035-0811
(304) 380-1504
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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