Wagner, Stacy

Wagner, Stacy is an sole proprietor health care provider with primary practice located at 902 S Myrtle Ave , Monrovia CA 91016-3427. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Wagner, Stacy can be contacted via phone (626) 357-3258.

Contact Information

Primary practice address
902 S Myrtle Ave Monrovia CA 91016-3427
Phone: (626) 357-3258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1871938548
LBN Legal business name Wagner, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2013
Last updated Sep 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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