Individual
JAMES F WADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4160 LOUISIANA ST, UNIT B, SAN DIEGO, CA 92104-1673
(619) 798-6336
Mailing address
4160 LOUISIANA ST, UNIT B, SAN DIEGO, CA 92104-1673
(619) 798-6336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86153695
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
02/07/2022
Last updated
02/07/2022
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