KENDALL SHANNON WAGNER

FULLERTON, CA
NPI1306888995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  G40943)
Enumeration Date2006-06-11
Last Update Date2010-08-05
Business Address
-- KENDALL SHANNON WAGNER M.D.
101 LAGUNA RD STE A
FULLERTON, CA 92835-3635
Phone number: 714-879-0050
Mailing Address
-- KENDALL SHANNON WAGNER M.D.
101 LAGUNA RD STE A
FULLERTON, CA 92835-3635
Phone number: 714-879-0050
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