Organization
WAGONER LLC
Active
Other names
Alexandria Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE K WAGONER AUD (OWNER/AUD)
(703) 823-3336
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE STE 409, ALEXANDRIA, VA 22304-1306
(703) 823-3336
(703) 823-4684
Mailing address
4660 KENMORE AVE STE 409, ALEXANDRIA, VA 22304-1306
(703) 823-3336
(703) 823-4684
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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