Individual
BARBARA JEAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 NE GEORGETOWN BLVD, ANKENY, IA 50021-9797
(515) 577-8594
Mailing address
506 NE GEORGETOWN BLVD, ANKENY, IA 50021-9797
(515) 577-8594
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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