LOGAN WAKHAM

HUNTINGTON, WV
NPI1750994026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-08-26
Last Update Date2020-08-26
Business Address
LOGAN WAKHAM
1538 CHARLESTON AVE
HUNTINGTON, WV 25701
Phone number: 304-696-7302
Mailing Address
LOGAN WAKHAM
1663 6TH AVE APT 8
HUNTINGTON, WV 25703-1436
Phone number: 304-928-3379