Individual
WANETA K CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
106 THORN ST, PRINCETON, WV 24740-3560
(304) 314-7501
Mailing address
1420 EVERETTE BAILEY RD, MATOAKA, WV 24736-7210
(681) 489-5229
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-9119
WV
Other
Enumeration date
02/27/2025
Last updated
09/04/2025
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