EDNA WAGGONER

HUNTINGTON BEACH, CA
NPI1972901742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP5954)
Enumeration Date2014-12-10
Last Update Date2014-12-10
Business Address
-- EDNA WAGGONER
16052 BEACH BLVD STE 215
HUNTINGTON BEACH, CA 92647-3853
Phone number: 714-916-0641
Mailing Address
-- EDNA WAGGONER
307 N SINGINGWOOD ST UNIT 24
ORANGE, CA 92869-3120
Phone number:
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