Individual
MS. AMY HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDE
Contact information
Practice address
2841 LUMP GULCH RD, BLACK HAWK, CO 80422-4314
(919) 272-7350
Mailing address
2841 LUMP GULCH RD, BLACK HAWK, CO 80422-4314
(919) 272-7350
(720) 770-5459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002567
NC
Other
Enumeration date
08/11/2006
Last updated
11/30/2021
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