AMBER LEIA WAGGONER

PORTLAND, TX
NPI1083483713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TX  1145675)
Enumeration Date2023-12-21
Last Update Date2024-01-23
Business Address
AMBER LEIA WAGGONER NP
2413 MEMORIAL PKWY
PORTLAND, TX 78374-3209
Phone number: 361-643-4546
Mailing Address
AMBER LEIA WAGGONER NP
2413 MEMORIAL PKWY
PORTLAND, TX 78374-3209
Phone number: 361-643-4546