LOGAN JOSEPH WAGNER

LOUISVILLE, KY
NPI1083296909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-21
Last Update Date2021-04-21
Business Address
LOGAN JOSEPH WAGNER
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
Mailing Address
LOGAN JOSEPH WAGNER
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696