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Jennifer Wagstaff
Specialist in Watertown, New York
NPI 1568919561

Jennifer Wagstaff is a Specialist based in Watertown, NY. Jennifer Wagstaff practices in Watertown, NY. The NPI Number for Jennifer Wagstaff is 1568919561 and holds a License No. 969025151 (New York).

The current practice location address for Jennifer Wagstaff is 420 Gaffney Dr, Watertown, NY and can be reached out via phone at 315-836-1226.

Location: 420 Gaffney Dr, Watertown, NY, 13601-1823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568919561
Provider Name
Jennifer Wagstaff
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 Gaffney Dr, Watertown, NY, 13601-1823
Phone Number
315-836-1226
Fax Number
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 Gaffney Dr
City
Watertown
State
New York
Zip
13601-1823
Phone Number
315-836-1226
Fax Number
person
Provider Business Mailing Address Details
Address
420 Gaffney Dr
City
Watertown
State
New York
Zip
13601-1823
Phone Number
315-836-1226
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
969025151 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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