KIRSTEN U WAGNER

LOS ANGELES, CA
NPI1275648149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  10936)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- KIRSTEN U WAGNER FNP
4314 W SLAUSON AVE
LOS ANGELES, CA 90043
Phone number: 323-293-7171
Mailing Address
-- KIRSTEN U WAGNER FNP
4314 W SLAUSON AVE
LOS ANGELES, CA 90043
Phone number: 323-293-7171
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