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Andrea Wagoner
NPI 1346363751 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4367 Mowry Ave
Fremont, CA 94538 - Phone
- (510) 794-6105
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California