Jordan Wagner, CRNA

NPI #1952043689 in Hemet, California

Provider Information

NPI Number
1952043689
Entity Type
Individual
Name
Jordan Wagner, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Apr 12, 2022
Last Updated
Apr 12, 2022

Practice Location

Address
1117 E DEVONSHIRE AVE
City
Hemet
ZIP Code
92543-3083
Phone
(951) 652-2811

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Provider Name
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