LOIS WAGLEY

MISHAWAKA, IN
NPI1538530506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71005871A)
Enumeration Date2015-10-15
Last Update Date2021-07-06
Business Address
LOIS WAGLEY
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
Mailing Address
LOIS WAGLEY
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673