Provider Information
Last Updated : Nov 25 2024 2:10 PM
Jacquelynn M Wagoner
City Fresno |
Group SANTE PHYSICIANS CAPITATED |
Specialty Pediatrics |
Last Name Wagoner |
First Name Jacquelynn |
Middle Name M |
Address 2823 Fresno St. |
State CA |
Zip Code 93721 |
Phone (559)459-6000 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title D.O. |
Physician ID 250867 |
Language 1 Spanish |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME SANTE PHYSICIANS CAPITATED |
PPG ID MFRH3 |
NPI Number 1184011074 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
EXAMTBL_IND T |
License ID 20A15405 |
Board Certified No |
Self Access Flag Self Reported Database |
Panel Status Available by referral only |
PHY CCT IND N |