(800) 868-1923

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: