Individual
MS. BARBARA J WIENTZEN-DAGENAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE,BC-ADM
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 227-7000
(603) 227-7516
Mailing address
6 BUTTRICK RD, STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1317
(603) 845-5182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
87
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WIMT0252
MEDICAL NUTRITION THERAPY
NH
Enumeration date
04/24/2007
Last updated
07/15/2020
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