PAMELA WAGNER

SANTA CRUZ, CA
NPI1932179892
Former NamePAMELA VOLLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13893)
Enumeration Date2006-01-24
Last Update Date2012-08-08
Business Address
-- PAMELA WAGNER
2900 CHANTICLEER AVE.
SANTA CRUZ, CA 95065-1816
Phone number: 831-462-7100
Mailing Address
-- PAMELA WAGNER
2025 SOQUEL AVE.
SANTA CRUZ, CA 95062-1323
Phone number: