Individual
MRS. DIANA WAGENSEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
Mailing address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(510) 531-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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