Individual
DARLENE WAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3414 EASTLAKE CT, WEST RICHLAND, WA 99353-7311
(360) 601-4233
Mailing address
3414 EASTLAKE CT, WEST RICHLAND, WA 99353-7311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007792
WA
Other
Enumeration date
05/20/2008
Last updated
10/31/2013
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