Individual
AMARILIS M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN327851
OH
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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