KRISTEN J WAGGONER

FAIR OAKS, CA
NPI1174827190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  20275)
Enumeration Date2011-01-05
Last Update Date2014-11-04
Business Address
Mrs. KRISTEN J WAGGONER PA
4944 SUNRISE BLVD STE H
FAIR OAKS, CA 95628-4941
Phone number: 916-966-8158
Mailing Address
Mrs. KRISTEN J WAGGONER PA
4944 SUNRISE BLVD SUITE H
FAIR OAKS, CA 95628-4941
Phone number: 916-966-8158
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