Individual
AMANDA RENEE WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 CLARK ST, HINTON, WV 25951-5110
(304) 445-6009
Mailing address
156 CLARK ST, HINTON, WV 25951-5110
(304) 445-6009
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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