Individual
WANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ROUTE 1, 226C, WILLIAMSON, WV 25661
(304) 235-7928
Mailing address
ROUTE 1, BOX 226C, WILLIAMSON, WV 25661
(304) 235-7928
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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