Organization
BLONDIES PANTRY LLC
Active
Other names
Blondie's Pantry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WAGNER (DIETITIAN/OWNER)
(914) 419-6627
Entity
Organization
Contact information
Practice address
5229 ANNUNCIATION ST, NEW ORLEANS, LA 70115-1815
(914) 419-6627
Mailing address
5229 ANNUNCIATION ST, NEW ORLEANS, LA 70115-1815
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
01/05/2018
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