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Amanda Corilyn Wagaman
Student in an Organized Health Care Education/Training Program in Tumwater, Washington
NPI 1609503507

Amanda Corilyn Wagaman is a Student in an Organized Health Care Education/Training Program based in Graham, WA. Amanda Corilyn Wagaman practices in Tumwater, WA. The NPI Number for Amanda Corilyn Wagaman is 1609503507 and holds a License No. (Washington).

The current practice location address for Amanda Corilyn Wagaman is 1992 Ridgeview Loop Sw Apt 206, Tumwater, WA and can be reached out via phone at 360-584-2344.

Location: 1992 Ridgeview Loop Sw Apt 206, Tumwater, WA, 98338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609503507
Provider Name
Amanda Corilyn Wagaman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1992 Ridgeview Loop Sw Apt 206, Tumwater, WA, 98338
Phone Number
360-584-2344
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1992 Ridgeview Loop Sw Apt 206
City
Tumwater
State
Washington
Zip
98512-1455
Phone Number
360-584-2344
Fax Number
person
Provider Business Mailing Address Details
Address
1992 Ridgeview Loop Sw Apt 206
City
Tumwater
State
Washington
Zip
98512-1455
Phone Number
360-584-2344
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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