Most Relevant Information
Provider Data
| NPI Number: | 1003424607 |
| Provider Name: | AMY VANCE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2020 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
163 PRICHARD RD
DANVILLE
WV
250536891
Practice Location Phone/Fax
| Phone: | 3046012785 |
| Fax: | 3043692274 |
Provider Mailing Location
163 PRICHARD RD
DANVILLE
WV
250536891
Provider Mailing Phone/Fax
| Phone: | 3046012785 |
| Fax: | 3043692274 |