Amanda Corilyn Wagaman Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Tumwater, WA
- NPI
- 1609503507
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
Practice location
1992 Ridgeview Loop Sw Apt 206
Tumwater, WA 98512-1455
(360) 584-2344