Eric Wagner
Eric Wagner is a Massage Therapist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2462 W 3rd StSanta Rosa, CA 95401-6425
Phone: (707) 843-3539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 82262 (CA) |
|---|
Record details
| NPI number | 1083222905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2020 |
| Last updated in NPPES | July 16, 2020 |
| Certification date | July 16, 2020 |
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