Individual provider · Type 1 NPI

Amanda Corilyn Wagaman

Student in an Organized Health Care Education/Training Program · Tumwater, WA

NPI number 1609503507 Active

Practice location

1992 Ridgeview Loop SW Apt 206
Tumwater, WA 98512-1455

Call (360) 584-2344 Map

Mailing address

26812 118th Ave. E.
Graham, WA 98338

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609503507

Amanda Corilyn Wagaman's National Provider Identifier is 1609503507, issued on Aug 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tumwater, WA. The record was last updated on Aug 2, 2022.