Individual
CRYSTAL WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BIRCH ROOT RD, ROWLESBURG, WV 26425-9014
(304) 698-8653
Mailing address
32 BIRCH ROOT RD, ROWLESBURG, WV 26425-9014
(304) 698-8653
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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