Individual
AMY JOY PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 DANIEL DR, SUITE C, GLEN DANIEL, WV 25844-0212
(304) 997-0516
Mailing address
PO BOX 212, GLEN DANIEL, WV 25844-0212
(304) 997-0516
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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