AMBER STACY

BLUEFIELD, WV
NPI1154929545
Other NameTATEN LEVI KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
AMBER STACY
3057 MAPLE ACRES ROAD
BLUEFIELD, WV 24801
Phone number: 304-887-5036
Mailing Address
AMBER STACY
PO BOX 1616
PRINCETON, WV 24740-1616
Phone number: 304-887-5036