Individual
ANNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
605 JONES FERRY RD APT KK5, CARRBORO, NC 27510-2144
(919) 802-4798
Mailing address
605 JONES FERRY RD APT KK5, CARRBORO, NC 27510-2144
(919) 802-4798
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86253664
NC
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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