Sean B Wagner, D.C. Valid NPI

Individual provider · Chiropractor · Thousand Oaks, CA

NPI

1487715363

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

DC28027 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-13

Last updated

2007-07-08