Individual
MRS. CARINA Z. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
819 LONGWOOD LN, SEBASTOPOL, CA 95472-2734
(707) 823-3456
Mailing address
819 LONGWOOD LN, SEBASTOPOL, CA 95472-2734
(707) 823-3456
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
CE2553
CA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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