JESSICA WAGNER

BROOKLYN, NY
NPI1134604648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  578558)
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
JESSICA WAGNER
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-3071
Mailing Address
JESSICA WAGNER
97 HARRIS LN
STATEN ISLAND, NY 10309-1505
Phone number:
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