Individual
ISABELLE JANE WAGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7951 EP TRUE PKWY, WEST DES MOINES, IA 50266-8107
(515) 223-1135
Mailing address
675 SE TALLGRASS LN, WAUKEE, IA 50263-6804
(515) 344-0059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
123980
IA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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