Individual
AMANDA GAIL GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PEACEFUL LANE, ACCOVILLE, WV 25606
(304) 687-3622
Mailing address
10 PEACEFUL LANE, ACCOVILLE, WV 25606
(304) 687-3622
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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