Individual
MRS. TIFFANY A WAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01614
OH
237600000X
Audiologist-Hearing Aid Fitter
A01614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214717
UNISON
OH
01
—
11779561
CAQH
OH
Enumeration date
07/16/2008
Last updated
05/09/2013
Update your record
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