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Dimitra Kokkalis Wagner
Specialist in San Francisco, California
NPI 1710390919

Dimitra Kokkalis Wagner is a Specialist based in San Francisco, CA. Dimitra Kokkalis Wagner practices in San Francisco, CA. The NPI Number for Dimitra Kokkalis Wagner is 1710390919 and holds a License No. A172034 (California).

The current practice location address for Dimitra Kokkalis Wagner is 324 W Portal Ave, San Francisco, CA and can be reached out via phone at 415-731-8080.

Location: 324 W Portal Ave, San Francisco, CA, 94127-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710390919
Provider Name
Dimitra Kokkalis Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
324 W Portal Ave, San Francisco, CA, 94127-1412
Phone Number
415-731-8080
Fax Number
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
324 W Portal Ave
City
San Francisco
State
California
Zip
94127-1412
Phone Number
415-731-8080
Fax Number
person
Provider Business Mailing Address Details
Address
324 W Portal Ave
City
San Francisco
State
California
Zip
94127-1412
Phone Number
415-731-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A172034 (California)
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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