Search › California › 246XC2903X
Paul Wagner, C.C.P
NPI 1518063916 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1836 Harbor Cv
Modesto, CA 95355 - Phone
- (209) 484-8516
- Fax
- (209) 576-3613
Registry record
- Primary taxonomy
- 246XC2903X
246XC2903X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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