Individual
PAIGE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LD
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 221-6120
Mailing address
1001 BELLEFONTAINE AVE FL 7, LIMA, OH 45804-2800
(419) 221-6120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08622
OH
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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