Individual
VIRGINIA R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2222 CHERRY ST., MOB 2, M900, TOLEDO, OH 43608-2801
(419) 251-4390
(419) 251-3133
Mailing address
2213 CHERRY ST., TOLEDO, OH 43608-2801
(419) 251-4505
(419) 251-3133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3030
OH
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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