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Organization
WAGENER, LLC
Active
Organization
WAGENER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MORTON RDN, LD, CEDS (OWNER)
(281) 851-2059
Entity
Organization
Contact information
Practice address
9530 FM 2920 RD APT 333, TOMBALL, TX 77375-8959
(281) 851-2059
Mailing address
9530 FM 2920 RD APT 333, TOMBALL, TX 77375-8959
(281) 851-2059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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