MARIAH M WAGNER

JOHNSON CITY, TN
NPI1407329246
Former NameMARIAH NGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  3690)
Enumeration Date2019-01-04
Last Update Date2020-10-14
Business Address
MARIAH M WAGNER PA-C
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Mailing Address
MARIAH M WAGNER PA-C
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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