ANDREW WAGNER

FRESNO, CA
NPI1861978819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  779455)
Enumeration Date2018-07-12
Last Update Date2018-07-12
Business Address
ANDREW WAGNER CRNA
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-459-4349
Mailing Address
ANDREW WAGNER CRNA
2311 E TRENTON AVE
FRESNO, CA 93720-3927
Phone number: 559-321-3441
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