Individual
ANGELA WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 30TH STREET, 2A SPECIALTY CLINIC, DES MOINES, IA 50310
(515) 699-5999
(515) 699-5449
Mailing address
3912 DOUGLAS AVE, DES MOINES, IA 50310-3654
(515) 419-4052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118418
IA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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