Individual
DR. WENDE WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MPH, MS
Contact information
Practice address
500 EUBANK BLVD SE, STE A, ALBUQUERQUE, NM 87123-3338
(505) 323-2555
(505) 323-0888
Mailing address
135 W 27TH ST, FL 4, NEW YORK, NY 10001-6226
(212) 257-0007
(646) 219-5737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM547
NM
Other
Enumeration date
10/06/2006
Last updated
06/07/2017
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