TRICIA WAGNER

TRAVIS AFB, CA
NPI1447927751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95017980)
Enumeration Date2021-08-24
Last Update Date2022-06-07
Business Address
TRICIA WAGNER NP
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5431
Mailing Address
TRICIA WAGNER NP
545 EVANS RD
DIXON, CA 95620-4418
Phone number: 925-301-5502
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