Charlotte Bonita Wagoner
NPI #1497343271 in Fort Ashby, West Virginia
Provider Information
- NPI Number
- 1497343271
- Entity Type
- Individual
- Name
- Charlotte Bonita Wagoner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 6, 2021
- Last Updated
- Jan 6, 2021
Practice Location
- Address
- 40 CEDAR LANE
- City
- Fort Ashby
- State
- West Virginia
- ZIP Code
- 26719
- Phone
- (304) 298-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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