Individual
ABBY ELISE WAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
416 SE 11TH CT, FORT LAUDERDALE, FL 33316-1144
(954) 673-1504
Mailing address
416 SE 11 COURT, FORT LAUDERDALE, FL 33331-1144
(954) 673-1504
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2360
FL
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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