Individual
KAREN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 15TH AVE S, CLINTON, IA 52732-6159
(563) 357-7574
Mailing address
1253 15TH AVE S, CLINTON, IA 52732-6159
(563) 357-7574
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
IA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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