Londra Wagner

NPI 1720400617 - Specialist/Technologist - 2355A2700X

NPI Details
NPI 1720400617
Gender Female
Enumeration Date 01/10/2014
Last Updated 01/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
11105 KNOTT AVE
SUITE A
CYPRESS CA, 90630-5137, US
Phone (714) 893-7399
Fax (714) 893-7389
Business Location
11105 KNOTT AVE
SUITE A
CYPRESS CA, 90630-5137, US
Phone (714) 893-7399
Fax (714) 893-7389
Toxanomy
Taxonomy Code 2355A2700X
License State California
License Number SPA1183
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According to our database, Londra Wagner NPI is 1720400617, taxonomy code is 2355A2700X and license number is SPA1183, license state is located at California. Londra Wagner physically located at 11105 Knott Ave, Cypress CA, 90630-5137. NPI Number Londra Wagner has the Individual type.

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1720400617 NPI number is provided on an as is basis without warranty of any kind. 1720400617 is maintained by the National Plan & Provider Enumeration System. The contents of Londra Wagner are for informational purposes only.