Individual
JENNIFER REBECCA WANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4760 TAMIAMI TRL N STE 27, NAPLES, FL 34103
(239) 593-9594
Mailing address
9876 ALHAMBRA LN, BONITA SPRINGS, FL 34135-2812
(585) 831-7510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009140
NY
Other
Enumeration date
08/13/2007
Last updated
09/18/2018
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