Organization
VERONICA WAGNER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA HELGA WAGNER RN CNM (PRESIDENT)
(831) 689-9073
Entity
Organization
Contact information
Practice address
2435 FOREST AVENUE, SUITE 100, SAN JOSE, CA 95128
(831) 689-9073
(831) 689-9351
Mailing address
PO BOX 475, APTOS, CA 95001-0475
(831) 689-9073
(831) 689-9351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
484636
CA
367A00000X
Advanced Practice Midwife
Primary
1048
CA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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