Individual
EMILY ANNE WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(254) 743-1786
Mailing address
1810 MARLANDWOOD RD APT 9208, TEMPLE, TX 76502-2809
(812) 508-9644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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