Individual
DR. ERIC DONALD WAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4441 GRANITE DR STE 102, ROCKLIN, CA 95677-2131
(916) 625-0208
(916) 925-0209
Mailing address
4441 GRANITE DR STE 102, ROCKLIN, CA 95677-2131
(916) 625-0208
(916) 925-0209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30897
CA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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