Individual
KRISTEN WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Mailing address
327 S K ST, TULARE, CA 93274-5416
(559) 688-2043
(559) 688-1304
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
06/26/2025
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