Individual
MRS. SARAH JILL WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
5201 LEE RD, USCG KAEHLER MEMORIAL MEDICAL CLINIC, BUZZARDS BAY, MA 02542-1313
(508) 968-6572
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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