Individual
MRS. SHERRIE FRANCES HAGENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
5619 N FARM ROAD 125, SPRINGFIELD, MO 65803-6209
(417) 300-9679
Mailing address
5619 N FARM ROAD 125, SPRINGFIELD, MO 65803-6209
(417) 300-9679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001008947
MO
Other
Enumeration date
07/01/2005
Last updated
07/09/2007
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