Samantha Waggoner
NPI #1164016994 in Pennsboro, West Virginia
Provider Information
- NPI Number
- 1164016994
- Entity Type
- Individual
- Name
- Samantha Waggoner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 23, 2021
- Last Updated
- Feb 23, 2021
Practice Location
- Address
- 156 POPLAR LICK LN
- City
- Pennsboro
- State
- West Virginia
- ZIP Code
- 26415-6252
- Phone
- (304) 483-4796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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