AMANDA WICKLINE

CHARLESTON, WV
NPI1750169165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
AMANDA WICKLINE
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
Mailing Address
AMANDA WICKLINE
4175 RICH FORK RD
CHARLESTON, WV 25312-7259
Phone number: 304-989-8726