Zackery Robert Wagner
Zackery Robert Wagner is a Nurse's Aide in Enumclaw, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
2323 Jensen StEnumclaw, WA 98022-3605
Phone: (360) 825-2541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X · Licence NA61270089 (WA) |
|---|
Record details
| NPI number | 1720774177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 17, 2023 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 17, 2023 |
| Mailing address | Po Box 1287, Buckley, WA 98321-1287 |