Individual
NANCY WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 LAKE STREET, WISE, VA 24293
(276) 328-8017
Mailing address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000489
VA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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