Wagner-Davis, Mary

Wagner-Davis, Mary is an sole proprietor health care provider with primary practice located at 604 Fifteen Mile Dr , Roseville CA 95678-5921. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Wagner-Davis, Mary can be contacted via phone (916) 276-8016.

Contact Information

Primary practice address
604 Fifteen Mile Dr Roseville CA 95678-5921
Phone: (916) 276-8016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC23253 California
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 10218838 California

Profile Details

NPI number 1649697475
LBN Legal business name Wagner-Davis, Mary
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2014
Last updated Mar 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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