Individual
MS. VICTORIA LEA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CRNFA, CPSN,CNOR
Contact information
Practice address
909 EASTGATE CT, CUMBERLAND, MD 21502-1811
(301) 724-1196
Mailing address
909 EASTGATE CT, CUMBERLAND, MD 21502-1811
(301) 724-1196
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R099633
MD
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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