Individual
BRENDA WAGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 NATALIA DR, COLUMBUS, OH 43232-4999
(614) 625-2388
Mailing address
2770 NATALIA DR, COLUMBUS, OH 43232-4999
(614) 625-2388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN374671
OH
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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