Individual
SAMANTHA RACHELLE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10351 VETERANS MEMORIAL HWY, MASONTOWN, WV 26542-8613
(304) 290-8640
Mailing address
10351 VETERANS MEMORIAL HWY, MASONTOWN, WV 26542-8613
(304) 290-8640
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
114872
WV
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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