Individual
JULIE ANN WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43378 OSBOURNE RD, WELLSVILLE, OH 43968-9780
(234) 703-5146
Mailing address
43378 OSBOURNE RD, WELLSVILLE, OH 43968-9780
(234) 703-5146
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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