KATIE WAGGONER

LA JOLLA, CA
NPI1962185405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95126394)
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
KATIE WAGGONER
9888 GENESEE AVE
LA JOLLA, CA 92037-1205
Phone number: 858-626-4123
Mailing Address
KATIE WAGGONER
2227 31ST ST
SAN DIEGO, CA 92104-5635
Phone number: 619-602-7773