Individual
AMY COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DUNBAR PLZ STE 200, DUNBAR, WV 25064-3038
(304) 342-5839
Mailing address
39 GERONIMO DR, SAINT ALBANS, WV 25177-3325
(681) 313-7377
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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