Individual
CATHERINE MARIE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
42 STATE ST, MANSFIELD, OH 44907-1346
(419) 524-0091
Mailing address
42 STATE ST, MANSFIELD, OH 44907-1346
(419) 524-0091
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
#400729370308
OH
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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