MS. ANDREA THERESA WAGONER NPI 1346363751

NPI Information

MS. Andrea Theresa Wagoner is a technician other in Fremont, CA. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MS. Andrea Theresa Wagoner NPI is 1346363751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4367 MOWRY AVE
FREMONT, CA
ZIP 94538-257
Phone: (510) 794-6105

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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