Individual
AMY M. GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0003
(304) 696-4336
Mailing address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0003
(304) 696-4336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
438
WV
Other
Enumeration date
03/05/2013
Last updated
09/01/2020
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