Scott Wagner Valid NPI
Individual provider · Community Health Worker · Greenville, CA
- NPI
- 1811279995
- Type
- Individual (Type 1)
- Primary specialty
- Community Health Worker
- Specialty group
- Other Service Providers
- Taxonomy code
- 172V00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-09-14
- Last updated
- 2011-09-14
Practice location
312 Crescent St
Greenville, CA 95947
(530) 284-7007