Individual
ANGEL WAITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 E GRAFTON RD STE C, FAIRMONT, WV 26554-4465
(304) 366-5832
Mailing address
14 E GRAFTON RD STE C, FAIRMONT, WV 26554-4465
(304) 366-5832
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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