Tessa Waggoner is a Specialist in Oxnard, California. Tessa Waggoner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tessa Waggoner is 1003033846. The last update date is 2007-07-08.
Tessa Waggoner's current location address is 1701 Solar Dr., Oxnard, California. You can contact this provider via phone number 8056044644 and fax number 8056044434. The mailing address for Tessa Waggoner is 1701 Solar Dr., Oxnard, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tessa Waggoner |
|---|---|
| Address | 1701 Solar Dr., Oxnard, California |
| Phone Number | 8056044644 |
| Fax Number | 8056044434 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1003033846 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1701 Solar Dr. |
|---|---|
| City | Oxnard |
| State | California (CA) |
| Post Code | 930300134 |
| Phone Number | 8056044644 |
| Fax Number | 8056044434 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24735 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tessa Waggoner?
The Tessa Waggoner has been issued the NPI (National Provider Identifier) 1003033846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Tessa Waggoner located?
The Tessa Waggoner is located at 1701 Solar Dr., Oxnard, CA 930300134.
What is Tessa Waggoner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tessa Waggoner's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Tessa Waggoner receive its 1003033846 assignment from the Centers for Medicare & Medicaid Services?
The Tessa Waggoner was assigned its 1003033846 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details pertaining to Tessa Waggoner last refreshed?
The information related to the Tessa Waggoner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.