Individual
SUSAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC..
Contact information
Practice address
3333 N CAMPBELL AVE, SUITE 12, TUCSON, AZ 85719-2357
(520) 955-0575
(888) 501-1017
Mailing address
PO BOX 74, VAIL, AZ 85641-0074
(520) 955-0575
(888) 501-1017
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0696
AZ
Other
Enumeration date
05/07/2011
Last updated
06/11/2013
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