Individual
SAGE WOLLENHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 186, BUCKHANNON, WV 26201-0186
(304) 472-0395
(304) 471-2488
Mailing address
826 HUNTERSVILLE RD, MARLINTON, WV 24954-1325
(907) 209-0478
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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