HAILEY LYNN WAGNER

FAIRFIELD, CT
NPI1801616230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-10-11
Last Update Date2024-10-16
Business Address
HAILEY LYNN WAGNER
1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824-5271
Phone number: 203-785-2579
Mailing Address
HAILEY LYNN WAGNER
11 EDGAR AVE
BROOKHAVEN, NY 11719-9605
Phone number: 631-905-1563