Individual
SHEILA D WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, PT, CNS
Contact information
Practice address
1100 LARKSPUR LANDING CIR STE 255, LARKSPUR, CA 94939-1816
(415) 945-3213
Mailing address
50 VIA BELARDO APT 6, GREENBRAE, CA 94904-2272
(415) 778-6008
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
CN00885
CA
172P00000X
Naprapath
Primary
ND1013
CA
2251X0800X
Orthopedic Physical Therapist
PT10092
CA
Other
Enumeration date
05/24/2010
Last updated
10/29/2018
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