AMANDA JEAN HALLER

GRAFTON, WV
NPI1952997496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-18
Last Update Date2020-12-18
Business Address
AMANDA JEAN HALLER
504 WALNUT ST
GRAFTON, WV 26354-1751
Phone number: 304-918-7002
Mailing Address
AMANDA JEAN HALLER
504 WALNUT ST
GRAFTON, WV 26354-1751
Phone number: