Individual
PAMELA JANE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
87658 527 AVE, WINNETOON, NE 68789-8022
(402) 358-0296
Mailing address
87658 527 AVE, WINNETOON, NE 68789-8022
(402) 360-0972
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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