Individual
DELLA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E COOK ST STE B, SANTA MARIA, CA 93454-5133
(805) 608-2200
Mailing address
301 E COOK ST STE B, SANTA MARIA, CA 93454-5133
(805) 608-2200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-EFJIQV
CA
Other
Enumeration date
04/18/2017
Last updated
10/24/2025
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