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Individual

MS. SAMANTHA H. WANGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC, PES

Contact information

Practice address
215 FERRUM MOUNTAIN RD, FERRUM, VA 24088-2612
(540) 365-4353
(540) 365-4353
Mailing address
1554 TEAL WAY, WOODBRIDGE, VA 22191-3731
(571) 244-3547

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003242
VA

Other

Enumeration date
10/23/2017
Last updated
05/20/2025
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