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Ms. Marie A Wagner
Contractor in Port Saint Lucie, Florida
NPI 1184895070

Marie A Wagner is a Contractor based in Port Saint Lucie, FL. Marie A Wagner practices in Port Saint Lucie, FL. The NPI Number for Marie A Wagner is 1184895070 and holds a License No. 19-3549-004-08 (Florida).

The current practice location address for Marie A Wagner is 365 Sw Log Dr, Port Saint Lucie, FL and can be reached out via phone at 772-785-6473 and via fax at 772-408-0998.

Location: 365 Sw Log Dr, Port Saint Lucie, FL, 34953-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184895070
Provider Name
Marie A Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
365 Sw Log Dr, Port Saint Lucie, FL, 34953-7501
Phone Number
772-785-6473
Fax Number
772-408-0998
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
365 Sw Log Dr
City
Port Saint Lucie
State
Florida
Zip
34953-7501
Phone Number
772-785-6473
Fax Number
772-408-0998
person
Provider Business Mailing Address Details
Address
365 Sw Log Dr
City
Port Saint Lucie
State
Florida
Zip
34953-7501
Phone Number
772-785-6473
Fax Number
772-408-0998
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
19-3549-004-08 (Florida)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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