Theresa Ann Wagner

NPI 1093981292 - Counselor - 101YM0800X

NPI Details
NPI 1093981292
Gender Female
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Business Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mrs. Theresa Ann Wagner NPI is 1093981292, taxonomy code is 101YM0800X Theresa Ann Wagner physically located at 720 Wood St, Eureka CA, 95501-4413. NPI Number Theresa Ann Wagner has the Individual type.

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1093981292 NPI number is provided on an as is basis without warranty of any kind. 1093981292 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Ann Wagner are for informational purposes only.