Individual
AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21059 ROUTE 52, FORT GAY, WV 25514-7185
(304) 962-6766
Mailing address
21059 ROUTE 52, FORT GAY, WV 25514-7185
(304) 962-6766
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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