Most Relevant Information
Provider Data
| NPI Number: | 1003429853 |
| Provider Name: | ANGELA RENEE STAUB |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2020 |
| Last Updated: | 08/30/2020 |
Provider Practice Location
894 OLD JERSEY MOUNTAIN RD
ROMNEY
WV
267576562
Practice Location Phone/Fax
| Phone: | 3043593813 |
| Fax: |
Provider Mailing Location
894 OLD JERSEY MOUNTAIN RD
ROMNEY
WV
267576562
Provider Mailing Phone/Fax
| Phone: | 3043593813 |
| Fax: |