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Amanda Wade

Technician, Personal Care Attendant in Danville, WV. Individual provider (NPI-1).

NPI number1194472001
StatusActive
Last updated in NPPESMar 10, 2022

Details

NPI
1194472001
Entity type
Individual (NPI-1)
Name
Amanda Wade
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2022
Certification date
Mar 10, 2022
Last updated
Mar 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

163 Prichard Rd
Danville, WV 25053-6891

Phone 304-369-2273

Mailing address

163 Prichard Rd
Danville, WV 25053-6891

Phone 304-369-2273

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