Individual
AMBER DAWN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 INDIAN ROCK RD, REEDSVILLE, WV 26547-7117
(304) 621-2192
Mailing address
865 INDIAN ROCK RD, REEDSVILLE, WV 26547-7117
(304) 621-2192
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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