AMANDA DIVINE

RANSON, WV
NPI1124957667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: WV  101997)
Enumeration Date2026-05-19
Last Update Date2026-05-19
Business Address
AMANDA DIVINE
71 FUZZY TAIL DR
RANSON, WV 25438-4877
Phone number: 304-350-9975
Mailing Address
AMANDA DIVINE
71 FUZZY TAIL DR
RANSON, WV 25438-4877
Phone number: 304-350-9975