MISS Vickey J Wagner, LPN

NPI #1902954035 in Waverly, Ohio

Provider Information

NPI Number
1902954035
Entity Type
Individual
Name
MISS Vickey J Wagner, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 8, 2007
Last Updated
Mar 26, 2008

Practice Location

Address
5235 STATE ROUTE 220
State
Ohio
ZIP Code
45690-9038
Phone
(740) 947-5172

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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