Individual
MANDY WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1993 SILVER KNIGHT DR, SISTERSVILLE, WV 26175-9600
(304) 758-2145
Mailing address
1993 SILVER KNIGHT DR, SISTERSVILLE, WV 26175-9600
(304) 758-2145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71398
WV
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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