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NPI Code Detail

MEDICARE: RONDA SUE WERTMAN

MEDICARE:   RONDA SUE WERTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942803101
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONDA SUE WERTMAN
Provider Business Mailing Address
First Line : 3066 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-7218
Country : US
Telephone Number : 304-813-1952
Fax Number :
Provider Business Practice Location Address
First Line : 3066 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-7218
Country : US
Telephone Number : 304-813-1952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ RONDA SUE WERTMAN ” Practice Location

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