Individual
JOANNA J. REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MHA, RD, LD, CDE
Contact information
Practice address
126 MISSOURI AVE, GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0531
Mailing address
21426 LANCASTER LN, WAYNESVILLE, MO 65583-3120
(573) 774-6479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03948
TX
Other
Enumeration date
02/21/2006
Last updated
08/19/2010
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