KIRSTIN LYNETTE WAGNER

LOS ANGELES, CA
NPI1376912212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA52754)
Enumeration Date2015-09-22
Last Update Date2022-07-21
Business Address
-- KIRSTIN LYNETTE WAGNER PA-C
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033-5330
Phone number: 323-442-5849
Mailing Address
-- KIRSTIN LYNETTE WAGNER PA-C
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5849
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