Individual provider · Type 1 NPI

Tiffany Wagner, LMP

Specialist · Puyallup, WA

NPI number 1962829010 Active

Practice location

2717 E Main
Puyallup, WA 98372-3165

Call (253) 279-0424 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60449726 (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 1962829010

Tiffany Wagner, LMP's National Provider Identifier is 1962829010, issued on Mar 26, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Puyallup, WA. The record was last updated on Mar 26, 2014.