Individual
COURTNEY DANIELLE WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1992 RIDGEVIEW LOOP SW APT 206, TUMWATER, WA 98512-1455
(360) 870-3332
Mailing address
1992 RIDGEVIEW LOOP SW APT 206, TUMWATER, WA 98512-1455
(360) 870-3332
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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