Individual
MRS. WANDA SEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5162
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171268
NC
Other
Enumeration date
06/06/2013
Last updated
06/07/2013
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