person
Coral Jane Waggoner, RPSGT,RRT,CCSH,MBA
Other Specialist/Technologist in Albuquerque, New Mexico
NPI 1467958942

Coral Jane Waggoner is a Other Specialist/Technologist based in Los Lunas, NM. Coral Jane Waggoner practices in Albuquerque, NM and has the professional credentials of RPSGT,RRT,CCSH,MBA. The NPI Number for Coral Jane Waggoner is 1467958942 and holds a License No. PT2013-0001 (New Mexico).

The current practice location address for Coral Jane Waggoner is 4700 Jefferson St Ne Ste 800, Albuquerque, NM and can be reached out via phone at 505-872-6005 and via fax at 515-872-6003.

Location: 4700 Jefferson St Ne Ste 800, Albuquerque, NM, 87031-8384
person
Provider Profile Details
NPI Number
1467958942
Provider Name
Coral Jane Waggoner
Credential
RPSGT,RRT,CCSH,MBA
Provider Entity Type
Individual
Gender
Female
Address
4700 Jefferson St Ne Ste 800, Albuquerque, NM, 87031-8384
Phone Number
505-872-6005
Fax Number
515-872-6003
Provider Enumeration Date
04/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Jefferson St Ne Ste 800
City
State
Zip
87109-2132
Phone Number
505-872-6005
Fax Number
515-872-6003
person
Provider Business Mailing Address Details
Address
4700 Jefferson St Ne Ste 800
City
State
Zip
87109-2132
Phone Number
505-872-6005
Fax Number
515-872-6003
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
PT2013-0001 (New Mexico)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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