SOPHIA COLLETTE WAGNER

METAIRIE, LA
NPI1417683277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  226793)
Enumeration Date2022-07-25
Last Update Date2022-09-15
Business Address
SOPHIA COLLETTE WAGNER
4320 HOUMA BLVD FL 5
METAIRIE, LA 70006-2961
Phone number: 504-503-6565
Mailing Address
SOPHIA COLLETTE WAGNER
4200 HOUMA BLVD
METAIRIE, LA 70006-2970
Phone number: 504-503-6781
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