NPI 1386467694

Amanda Dillon, PRSS

Practitioner Contractor Charleston, WV

Practice location

Address: 1303 Washington St W, Charleston, WV 25302-1333
Phone: (304) 553-0010
Mailing address: 3544 4th Ave APT 4, Huntington, WV 25702-2038

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1386467694
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2024
Record last updated: 5 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.