Sandra Wagner
Hearing Aid Equipment in Viera, FL. Individual provider (NPI-1).
NPI number1982120440
StatusActive
Last updated in NPPESAug 16, 2017
Details
- NPI
- 1982120440
- Entity type
- Individual (NPI-1)
- Name
- Sandra Wagner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2017
- Last updated
- Aug 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332S00000X | Hearing Aid Equipment | AS2747 | FL | Yes |
Practice location
8085 Spyglass Hill RoadViera, FL 32940
Phone 321-253-6310 · Fax 321-751-6798
Mailing address
8085 Spyglass Hill RoadViera, FL 32940
Phone 321-253-6310 · Fax 321-751-6798
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