Individual
MRS. AMANDA MICHELLE CRUMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2869 SENECA TRL S, PETERSTOWN, WV 24963-5037
(304) 753-4336
(304) 753-4097
Mailing address
2869 SENECA TRL S, PETERSTOWN, WV 24963-5037
(304) 753-4336
(304) 753-4097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002092777
VA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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