Samantha Waggoner
Samantha Waggoner is a Community Health Worker in Pennsboro, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
156 Poplar Lick LnPennsboro, WV 26415-6252
Phone: (304) 483-4796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1164016994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2021 |
| Last updated in NPPES | February 23, 2021 |
| Certification date | February 23, 2021 |
| Mailing address | 156 Poplar Lick Ln, Pennsboro, WV 26415-6252 |
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