Amanda Faith Wallace
NPI #1952128852 in Delbarton, West Virginia
Provider Information
- NPI Number
- 1952128852
- Entity Type
- Individual
- Name
- Amanda Faith Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 23, 2024
- Last Updated
- Sep 23, 2024
Practice Location
- Address
- 130 MOUNTAIN LAKE DR
- City
- Delbarton
- State
- West Virginia
- ZIP Code
- 25670-9656
- Phone
- (304) 733-1094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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