Search › Louisiana › 343900000X
Blair Wagner
NPI 1053088005 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1501 Magnolia St # B
Slidell, LA 70460 - Phone
- (504) 400-3896
- Organisation at this address
- Wagner'S Transportation Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana