Coral Jane Waggoner, RPSGT, RRT,CCSH,MBA
NPI #1467958942 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1467958942
- Entity Type
- Individual
- Name
- Coral Jane Waggoner, RPSGT, RRT,CCSH,MBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- RPSGT, RRT,CCSH,MBA
- Enumeration Date
- Apr 3, 2018
- Last Updated
- Apr 3, 2018
Practice Location
- Address
- 4700 JEFFERSON ST NE STE 800
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87109-2132
- Phone
- (505) 872-6005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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