Individual
MRS. CHRISTINE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
54 E WALNUT ST, JEFFERSON, OH 44047-1120
(440) 576-5429
Mailing address
54 E WALNUT ST, JEFFERSON, OH 44047-1120
(440) 576-5429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 2971
OH
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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