NPI 1073163713
Wagoner LLC
Practice location
- Address
- 4660 Kenmore Ave STE 409, Alexandria, VA 22304-1306
- Phone
- (703) 823-3336
- Fax
- (703) 823-4684
Authorised official
- Name
- Julie K Wagoner
- Title
- Owner/Aud
- Phone
- (703) 823-3336
Registered specialties
Audiologist-Hearing Aid Fitter
Primary
Registry record
- NPI
- 1073163713
- Entity type
- Organization
- NPI issued
- 15 Sep 2019
- Record last updated
- 15 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.