Kelsey Ruth Wagner
Kelsey Ruth Wagner is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5915 Orchard St WTacoma, WA 98467-3824
Phone: (253) 414-7461
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1013756824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 9005 120th Street Ct E, Puyallup, WA 98373-7908 |
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