MRS. Kandy Lyn Van Wagner
NPI #1366931974 in Whitney Point, New York
Provider Information
- NPI Number
- 1366931974
- Entity Type
- Individual
- Name
- MRS. Kandy Lyn Van Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 9, 2018
- Last Updated
- May 9, 2018
Practice Location
- Address
- 33 RIVER RD
- City
- Whitney Point
- State
- New York
- ZIP Code
- 13862-7704
- Phone
- (607) 371-1046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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