Individual
CARRIE I. WAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1955 LUCILE AVE STE E, STOCKTON, CA 95209-4703
(209) 462-1302
Mailing address
67 W CASTLE ST, STOCKTON, CA 95204-4413
(209) 462-1302
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MB-0600019
CA
Other
Enumeration date
05/18/2009
Last updated
05/19/2009
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