Individual
MARSHA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
723 WALNUT DR, PASO ROBLES, CA 93446-2315
(805) 237-3050
(805) 237-3057
Mailing address
723 WALNUT DR, PASO ROBLES, CA 93446-2315
(805) 237-3050
(805) 237-3057
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
D234238
CA
251K00000X
Public Health or Welfare Agency
D234238
CA
Other
Enumeration date
08/24/2007
Last updated
11/20/2007
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