Individual
DR. TAMMY LYNN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RDN
Contact information
Practice address
757 CHIMNEY CIR, MIDDLETOWN, VA 22645-2177
(540) 246-7099
Mailing address
757 CHIMNEY CIR, MIDDLETOWN, VA 22645-2177
(540) 246-7099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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