Individual
SARAH A PAGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-2467
Mailing address
504 VERMONT ST, FOND DU LAC, WI 54937-1836
(920) 729-2467
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
993888
WI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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