Amanda Corilyn Wagaman
NPI #1609503507 in Tumwater, Washington
Provider Information
- NPI Number
- 1609503507
- Entity Type
- Individual
- Name
- Amanda Corilyn Wagaman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 2, 2022
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 1992 RIDGEVIEW LOOP SW APT 206
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98512-1455
- Phone
- (360) 584-2344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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