GENA D WAGAMAN

FAIRMONT, WV
NPI1043821135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-12
Last Update Date2021-06-23
Business Address
GENA D WAGAMAN
406 MAPLE AVE
FAIRMONT, WV 26554-3177
Phone number: 304-291-3345
Mailing Address
GENA D WAGAMAN
406 MAPLE AVE
FAIRMONT, WV 26554-3177
Phone number: 304-291-3345
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