MI- JIN WAGNER

LEESBURG, VA
NPI1235264946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024167321)
Enumeration Date2007-02-22
Last Update Date2024-12-27
Business Address
MI- JIN WAGNER CRNA
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000
Mailing Address
MI- JIN WAGNER CRNA
3100 SPRING FOREST ROAD SUITE 130
RALEIGH, NC 27616-2880
Phone number: 919-882-0705
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