MRS. Kandyse Shanell Wagner
NPI #1871301721 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1871301721
- Entity Type
- Individual
- Name
- MRS. Kandyse Shanell Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 24, 2024
- Last Updated
- Dec 24, 2024
Practice Location
- Address
- 16229 EDGEWOOD CT
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137-3967
- Phone
- (216) 212-6463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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