SHANTA WAGNER

SAINT ALBANS, WV
NPI1811584329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
SHANTA WAGNER
2414 LINCOLN AVE
SAINT ALBANS, WV 25177-3242
Phone number: 304-419-1109
Mailing Address
SHANTA WAGNER
2810 LINCOLN AVE
SAINT ALBANS, WV 25177-2154
Phone number: 304-767-4620
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