Jordan Ann Wagner

NPI #1760939136 in Fallston, Maryland

Provider Information

NPI Number
1760939136
Entity Type
Individual
Name
Jordan Ann Wagner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Sep 2, 2016
Last Updated
Sep 2, 2016

Practice Location

Address
3351 FALLSTON RD
ZIP Code
21047-1020
Phone
(443) 299-8208

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Student in an Organized Health Care Education/Training Program

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