MRS. Sherry Diane Wagner, LPN

NPI #1265548242 in Racine, Ohio

Provider Information

NPI Number
1265548242
Entity Type
Individual
Name
MRS. Sherry Diane Wagner, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 22, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
28020 TANNERS RUN RD
City
Racine
State
Ohio
ZIP Code
45771-9753
Phone
(740) 949-2059

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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