Individual
SANDRA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8085 SPYGLASS HILL ROAD, VIERA, FL 32940
(321) 253-6310
(321) 751-6798
Mailing address
8085 SPYGLASS HILL ROAD, VIERA, FL 32940
(321) 253-6310
(321) 751-6798
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
AS2747
FL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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