Jaxon Deshae Wagner
ActiveCalifornia license A212266
License
- Licensed by
- Medical Board of California
- License number
- A212266
- Status
- Active (Current)
- First issued
- September 29, 2026
- Expires
- November 30, 2028
- License holder
- Jaxon Deshae Wagner
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1800 N California St
Stockton, CA 95204-6019
Stockton, CA 95204-6019
San Joaquin County