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: |