NPI 1013415199
Samantha Brooke Wagner
Practice location
- Address
- 3230 Waring CT STE a, Oceanside, CA 92056-4509
- Phone
- (760) 305-7528
- Fax
- (760) 509-4410
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1013415199
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Jan 2018
- Record last updated
- 24 Jan 2018
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.