Stephen Roy Weasenforth
NPI #1609480649 in Keyser, West Virginia
Provider Information
- NPI Number
- 1609480649
- Entity Type
- Individual
- Name
- Stephen Roy Weasenforth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 144 E EAGLE LN
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-9527
- Phone
- (304) 788-3626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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