SHANIN WAGONER

ROMNEY, WV
NPI1134852361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  22584)
Enumeration Date2022-07-06
Last Update Date2022-07-06
Business Address
SHANIN WAGONER
25072 NORTHWESTERN PIKE
ROMNEY, WV 26757-5039
Phone number: 304-822-2177
Mailing Address
SHANIN WAGONER
233 ROSEANNA ST
WILEY FORD, WV 26767-8032
Phone number: 301-707-4846
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