Lauren Marie Wagner ATC

NPI 1770992133 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1770992133
Gender Female
Enumeration Date 08/10/2014
Last Updated 08/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4947 PASEO MONTELENA
CAMARILLO CA, 93012-5264, US
Phone (805) 479-8040
Fax
Business Location
4947 PASEO MONTELENA
CAMARILLO CA, 93012-5264, US
Phone (805) 479-8040
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lauren Marie Wagner ATC NPI is 1770992133, taxonomy code is 390200000X Lauren Marie Wagner ATC physically located at 4947 Paseo Montelena, Camarillo CA, 93012-5264. NPI Number Lauren Marie Wagner ATC has the Individual type.

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1770992133 NPI number is provided on an as is basis without warranty of any kind. 1770992133 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Marie Wagner ATC are for informational purposes only.