Individual
MRS. MARCIA KARIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-4707
(509) 882-3961
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-4707
(509) 882-3961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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