PAMELA WAGNER

SAINT PAUL, MN
NPI1861681637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R 144158-7)
Enumeration Date2007-10-17
Last Update Date2014-01-02
Business Address
-- PAMELA WAGNER CRNA
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-1687
Mailing Address
-- PAMELA WAGNER CRNA
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: