Shawna Marie Wagoner
NPI #1396351219 in Keyser, West Virginia
Provider Information
- NPI Number
- 1396351219
- Entity Type
- Individual
- Name
- Shawna Marie Wagoner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 16, 2020
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 503 VIRGINIA ST
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-2208
- Phone
- (304) 813-2430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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