Organization
RELLA AESTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY WAGNER DO (OWNER)
(707) 358-2928
Entity
Organization
Contact information
Practice address
542 MAIN ST, VACAVILLE, CA 95688-3912
(707) 358-2928
Mailing address
542 MAIN ST, VACAVILLE, CA 95688-3912
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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