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Ebony Wagner
NPI 1417402397 · on the registry since 2016
Practice
- Address
- 2325 Patterson Rd
Florissant, MO 63031 - Phone
- (314) 620-5553
- Fax
- (314) 584-5002
- Organisation at this address
- Caring Moments Home Health Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-19
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 Missouri