Miss. Mallori Jane Wagoner
Miss. Mallori Jane Wagoner is a Personal Care Attendant in Council Bluffs, Iowa. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2724 Avenue BCouncil Bluffs, IA 51501-2106
Phone: (402) 679-2834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1033003116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2025 |
| Last updated in NPPES | June 4, 2025 |
| Certification date | June 4, 2025 |
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