Phyllis Wanstreet
NPI #1871180877 in Jane Lew, West Virginia
Provider Information
- NPI Number
- 1871180877
- Entity Type
- Individual
- Name
- Phyllis Wanstreet
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 23, 2020
- Last Updated
- Dec 23, 2020
Practice Location
- Address
- 10 PEARL LN
- City
- Jane Lew
- State
- West Virginia
- ZIP Code
- 26378-8079
- Phone
- (304) 745-4317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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