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Amy Victoria Justice

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

NPI number1437720331
StatusActive
Last updated in NPPESJul 2, 2021

Details

NPI
1437720331
Entity type
Individual (NPI-1)
Name
Amy Victoria Justice
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2021
Certification date
Jul 2, 2021
Last updated
Jul 2, 2021

Taxonomy and licenses

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

Practice location

820 Poplar St
Kenova, WV 25530-1530

Phone 304-453-4992

Mailing address

820 Poplar St
Kenova, WV 25530-1530

Phone 304-453-4992

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