Individual
MS. STACY WAGONER CLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
306 COLLEGE ST, WILKESBORO, NC 28697-2854
(336) 651-7451
Mailing address
306 COLLEGE ST, WILKESBORO, NC 28697-2854
(336) 651-7451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004752
NC
Other
Enumeration date
01/21/2016
Last updated
07/10/2024
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