AMBER PORTALATIN

BECKLEY, WV
NPI1215511019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2021-05-07
Last Update Date2021-05-12
Business Address
AMBER PORTALATIN
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
Mailing Address
AMBER PORTALATIN
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
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