Individual
ADRIANNE WAGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6535 BRANCHES DR, BROWNSBURG, IN 46112
(317) 828-3204
Mailing address
6535 BRANCHES DR, BROWNSBURG, IN 46112
(317) 828-3204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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