Individual
MRS. WENDY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 ARLINGTON LN NE APT 113, PALM BAY, FL 32905-3944
(720) 322-3814
Mailing address
1300 ARLINGTON LN NE APT 113, PALM BAY, FL 32905-3944
(720) 322-3814
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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