Ruth Wagoner
NPI #1154914075 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1154914075
- Entity Type
- Individual
- Name
- Ruth Wagoner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 12, 2021
- Last Updated
- Feb 12, 2021
Practice Location
- Address
- 88 LAYFIELD LN
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-7123
- Phone
- (304) 834-9554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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