Individual
MS. PAMELA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2134 HANDEL AVE, HENDERSON, NV 89052-5723
(702) 860-8547
Mailing address
2134 HANDEL AVE, HENDERSON, NV 89052-5723
(702) 860-8547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
32901DI-1
NV
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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