Individual
TANYA ASHLEE WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9875 WILLOW BEND RD, UNION, WV 24983-9739
(304) 753-5940
Mailing address
9875 WILLOW BEND RD, UNION, WV 24983-9739
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
89380
WV
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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