JORDAN WAGNER

MOUNT VERNON, WA
NPI1326935800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: WA  MIDW.MW.61663618)
Enumeration Date2025-06-18
Last Update Date2025-06-18
Business Address
JORDAN WAGNER LM, CPM
916 S 3RD ST
MOUNT VERNON, WA 98273-4324
Phone number: 530-736-0250
Mailing Address
JORDAN WAGNER LM, CPM
3414 TRUMPETER DR
MOUNT VERNON, WA 98273-8607
Phone number: 530-736-0250
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