Individual
JULIA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-2200
Mailing address
905 GRADY DR, JOHNSON CITY, TN 37604-2940
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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