Individual
ANGELA WILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1659 BOLYARD RD, BRUCETON MILLS, WV 26525-6057
(304) 276-4447
Mailing address
1659 BOLYARD RD, BRUCETON MILLS, WV 26525-6057
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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