Individual
DR. ALESIA JOY WAGNER-LARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1119 E MONTE VISTA AVE, VACAVILLE, CA 95688
(707) 469-4640
Mailing address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5290
(707) 638-5255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8597
CA
207Q00000X
Family Medicine Physician
5121
NV
207Q00000X
Family Medicine Physician
OS0017549
FL
207Q00000X
Family Medicine Physician
R3E50
MO
Other
Enumeration date
07/05/2006
Last updated
11/19/2021
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