Jacquelynn Wagoner, DO
NPI #1184011074 in Fresno, California
Provider Information
- NPI Number
- 1184011074
- Entity Type
- Individual
- Name
- Jacquelynn Wagoner, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- DO
- Enumeration Date
- Apr 19, 2015
- Last Updated
- Jan 10, 2020
Practice Location
- Address
- 2823 FRESNO ST
- City
- Fresno
- State
- California
- ZIP Code
- 93721-1324
- Phone
- (559) 499-6556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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