NICHOLAS WAGNER

OCEANSIDE, CA
NPI1831612316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  689566)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
NICHOLAS WAGNER
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171
Mailing Address
NICHOLAS WAGNER
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number:
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