Individual
KAREN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(R) R.T., FCC
Contact information
Practice address
442 WATERVLIET AVE, DAYTON, OH 45420-2467
(937) 344-0110
Mailing address
442 WATERVLIET AVE, DAYTON, OH 45420-2467
(937) 344-0110
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
433896
OH
247100000X
Radiologic Technologist
Primary
433896
OH
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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