Individual
KAREN T WAGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SUMMERWOOD DR, TEMPLE, TX 76502-8802
(254) 718-4843
Mailing address
5415 SUMMERWOOD DR, TEMPLE, TX 76502-8802
(254) 718-4843
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
162758
TX
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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