MRS. Kristen J Waggoner, PA
NPI #1174827190 in Fair Oaks, California
Provider Information
- NPI Number
- 1174827190
- Entity Type
- Individual
- Name
- MRS. Kristen J Waggoner, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 5, 2011
- Last Updated
- Nov 4, 2014
Practice Location
- Address
- 4944 SUNRISE BLVD STE H
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-4941
- Phone
- (916) 966-8158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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