Most Relevant Information
Provider Data
| NPI Number: | 1003686122 |
| Provider Name: | AMANDA LEON GREENLIEF BS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2024 |
| Last Updated: | 01/09/2024 |
Provider Practice Location
266 SKIDMORE LN
SUTTON
WV
266019271
Practice Location Phone/Fax
| Phone: | 2042699510 |
| Fax: |
Provider Mailing Location
266 SKIDMORE LN
SUTTON
WV
266019271
Provider Mailing Phone/Fax
| Phone: | 3042699510 |
| Fax: |