SearchMaryland390200000X

Jordan Wagner

NPI 1760939136 · on the registry since 2016 · sole proprietor

Practice

Address
3351 Fallston Rd
Fallston, MD 21047
Phone
(443) 299-8208

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Female
Record last updated
2016-09-02

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 Maryland