Individual
SARA WAGNER JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
600 GRESHAM DR STE 1100, NORFOLK, VA 23507-1904
(757) 388-6200
Mailing address
723 PRESCOTT CIR, NEWPORT NEWS, VA 23602-7018
(757) 952-7254
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001779
VA
Other
Enumeration date
07/22/2020
Last updated
05/13/2022
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