Most Relevant Information
Provider Data
| NPI Number: | 1003316506 |
| Provider Name: | WENDY SUE NAGEL |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2018 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
43909 30TH ST W
LANCASTER
CA
935365843
Practice Location Phone/Fax
| Phone: | 6615755080 |
| Fax: |
Provider Mailing Location
43909 30TH ST W
LANCASTER
CA
935365843
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |