MRS. Nicole Marie Wagner, LSA

NPI #1831986017 in Wylie, Texas

Provider Information

NPI Number
1831986017
Entity Type
Individual
Name
MRS. Nicole Marie Wagner, LSA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
LSA
Enumeration Date
Apr 22, 2025
Last Updated
Apr 22, 2025

Practice Location

Address
409 KATHY LN
City
Wylie
State
Texas
ZIP Code
75098-4544
Phone
(817) 897-8481

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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