Individual provider · Type 1 NPI

Jodi Jean Wagster, LMP

Specialist · Everett, WA

NPI number 1497006332 Active

Practice location

2804 Grand Ave Ste 300
Everett, WA 98201-3586

Mailing address

5631 123rd Ave SE
Snohomish, WA 98290-5510

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X60297122 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497006332

Jodi Jean Wagster, LMP's National Provider Identifier is 1497006332, issued on Oct 1, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Everett, WA. The record was last updated on Oct 1, 2012.