SHINNAYHA NICOLE WAGNER

PHOENIX, AZ
NPI1649771445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  7346)
Enumeration Date2018-02-27
Last Update Date2018-06-16
Business Address
SHINNAYHA NICOLE WAGNER
13220 S 48TH ST APT 1112
PHOENIX, AZ 85044-5013
Phone number: 928-551-1020
Mailing Address
SHINNAYHA NICOLE WAGNER
13220 S 48TH ST APT 1112
PHOENIX, AZ 85044-5013
Phone number: 928-551-1020
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