Shela Wagner

NPI #1578102752 in Loveland, Colorado

Provider Information

NPI Number: 1578102752
Entity Type: Individual
Name: Shela Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 5, 2020
Last Updated: Jan 5, 2020

Practice Location

Address: 2603 NORTH MONROE AVE
City: Loveland
State: Colorado
ZIP Code: 80538
Phone: (303) 815-4076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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