Individual
CONSTANCE HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.N.
Contact information
Practice address
301 CUMMINGS AVE., SW, BOX 415, HIGHMORE, SD 57345-0415
(605) 852-2112
(605) 852-2243
Mailing address
301 CUMMINGS AVE., SW, BOX 415, HIGHMORE, SD 57345-0415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0040
SD
Other
Enumeration date
05/10/2007
Last updated
10/30/2008
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