JOHANNE MAE WAGGY

FAIRFAX, VA
NPI1366001018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: VA  0024177230)
Enumeration Date2019-06-06
Last Update Date2021-03-31
Business Address
JOHANNE MAE WAGGY NP
3251 OLD LEE HWY STE 200
FAIRFAX, VA 22030-1504
Phone number: 877-868-4827
Mailing Address
JOHANNE MAE WAGGY NP
9554 SUNNYSLOPE DR
MANASSAS, VA 20112-2735
Phone number: 703-475-9591
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