Individual
BETTY JO WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2393 LUMBER AVE, WHEELING, WV 26003-5375
(304) 830-3683
Mailing address
2393 LUMBER AVE, WHEELING, WV 26003-5375
(304) 830-3683
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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