Individual
WANDA S AGNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 N LEE HWY, LEXINGTON, VA 24450-3301
(540) 464-9663
(540) 464-9668
Mailing address
PO BOX 765, 1565 NORTH LEE HIGHWAY, LEXINGTON, VA 24450-0765
(540) 464-9663
(540) 464-9668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79422008
VA
Other
Enumeration date
11/10/2008
Last updated
06/15/2009
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