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Stacy Wagner
Student in an Organized Health Care Education/Training Program in Monrovia, California
NPI 1871938548

Stacy Wagner is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Stacy Wagner practices in Monrovia, CA. The NPI Number for Stacy Wagner is 1871938548 and holds a License No. (California).

The current practice location address for Stacy Wagner is 902 S Myrtle Ave, Monrovia, CA and can be reached out via phone at 626-357-3258.

Location: 902 S Myrtle Ave, Monrovia, CA, 91105-5215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871938548
Provider Name
Stacy Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
902 S Myrtle Ave, Monrovia, CA, 91105-5215
Phone Number
626-357-3258
Fax Number
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
902 S Myrtle Ave
City
Monrovia
State
California
Zip
91016-3427
Phone Number
626-357-3258
Fax Number
person
Provider Business Mailing Address Details
Address
902 S Myrtle Ave
City
Monrovia
State
California
Zip
91016-3427
Phone Number
626-357-3258
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.
()
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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