EBONY WAGNER

Licensed Practical Nurse

NPI: 1417402397Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

2013023536(MO)

Contact & Hours

Address: 2325 PATTERSON RD
FLORISSANT, MO 63031
Phone: (314) 620-5553

Location

Practice Location

2325 PATTERSON RD, FLORISSANT, MO

Quick Facts

NPI: 1417402397
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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