Shannon Wagner
NPI #1972485357 in Castro Valley, California
Provider Information
- NPI Number
- 1972485357
- Entity Type
- Individual
- Name
- Shannon Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jul 24, 2025
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 20103 LAKE CHABOT RD
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546-5305
- Phone
- (510) 708-9878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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