MATTHEW WAGNER

Adult Companion

Active Individual
NPI: 1740366350

Practice Address

4600 47TH AVE STE 111
Sacramento, CA 95824

Phone: (916) 393-1222

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Specialist 174400000X No -
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1740366350 is the National Provider Identifier for MATTHEW WAGNER, a Adult Companion provider located in Sacramento, CA. This NPI was enumerated on October 27, 2006.
MATTHEW WAGNER practices at 4600 47TH AVE STE 111, Sacramento, CA 95824.

Quick Facts

NPI
1740366350
Type
Individual
Enumerated
Oct 27, 2006
Last Updated
Jun 4, 2025

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