Individual
CHRISTINA WAGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2100 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 280-9574
(360) 570-3325
Mailing address
3637 JESTER COURT NW, OLYMPIA, WA 98502
(360) 280-9574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1022486
WA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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