MS. MARIE WAGNER

Contractor

Active Individual
NPI: 1184895070

Practice Address

365 SW LOG DR
Port Saint Lucie, FL 34953

Phone: (772) 785-6473

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 19-3549-004-08 (FL)

Frequently Asked Questions

NPI 1184895070 is the National Provider Identifier for MS. MARIE WAGNER, a Contractor provider located in Port Saint Lucie, FL. This NPI was enumerated on March 18, 2008.
MS. MARIE WAGNER practices at 365 SW LOG DR, Port Saint Lucie, FL 34953.

Quick Facts

NPI
1184895070
Type
Individual
Enumerated
Mar 18, 2008
Last Updated
Mar 18, 2008

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