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Tiffany Wagner, LMP
Specialist in Puyallup, Washington
NPI 1962829010

Tiffany Wagner is a Specialist based in Puyallup, WA. Tiffany Wagner practices in Puyallup, WA and has the professional credentials of LMP. The NPI Number for Tiffany Wagner is 1962829010 and holds a License No. MA60449726 (Washington).

The current practice location address for Tiffany Wagner is 2717 E Main, Puyallup, WA and can be reached out via phone at 253-279-0424.

Location: 2717 E Main, Puyallup, WA, 98372-3165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962829010
Provider Name
Tiffany Wagner
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
2717 E Main, Puyallup, WA, 98372-3165
Phone Number
253-279-0424
Fax Number
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2717 E Main
City
Puyallup
State
Washington
Zip
98372-3165
Phone Number
253-279-0424
Fax Number
person
Provider Business Mailing Address Details
Address
2717 E Main
City
Puyallup
State
Washington
Zip
98372-3165
Phone Number
253-279-0424
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60449726 (Washington)
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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