Individual provider · Type 1 NPI

Stacy Wagner

Student in an Organized Health Care Education/Training Program · Monrovia, CA

NPI number 1871938548 Active

Practice location

902 S Myrtle Ave
Monrovia, CA 91016-3427

Call (626) 357-3258 Map

Mailing address

275 S Arroyo Pkwy Unit 607
Pasadena, CA 91105-5215

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 1871938548

Stacy Wagner's National Provider Identifier is 1871938548, issued on May 7, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monrovia, CA. The record was last updated on Sep 18, 2013.