Dallas Wager
NPI #1245650779 in Rensselaer, New York
Provider Information
- NPI Number
- 1245650779
- Entity Type
- Individual
- Name
- Dallas Wager
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 23, 2014
- Last Updated
- Apr 23, 2014
Practice Location
- Address
- 87 WASHINGTON ST
- City
- Rensselaer
- State
- New York
- ZIP Code
- 12144-2613
- Phone
- (518) 449-1142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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