ZACKERY WAGNER

Nurse's Aide

Active Individual
NPI: 1720774177

Practice Address

2323 JENSEN ST
Enumclaw, WA 98022

Phone: (360) 825-2541

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes NA61270089 (WA)

Frequently Asked Questions

NPI 1720774177 is the National Provider Identifier for ZACKERY WAGNER, a Nurse's Aide provider located in Enumclaw, WA. This NPI was enumerated on April 17, 2023.
ZACKERY WAGNER practices at 2323 JENSEN ST, Enumclaw, WA 98022.

Quick Facts

NPI
1720774177
Type
Individual
Enumerated
Apr 17, 2023
Last Updated
Apr 17, 2023

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