Individual
BRIDGET WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6130 N LA CHOLLA BLVD STE 250, TUCSON, AZ 85741-3698
(520) 219-8690
Mailing address
6130 N LA CHOLLA BLVD STE 250, TUCSON, AZ 85741-3698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86293310
WA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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