MS. Andrea Theresa Wagoner
MS. Andrea Theresa Wagoner is an Other Technician in Fremont, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4367 Mowry AveFremont, CA 94538-1257
Phone: (510) 794-6105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1346363751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | July 8, 2007 |
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