Individual
AMANDA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 500, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
1349 PUMP STATION RD, FAIRMONT, WV 26554-7721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28208
WV
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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