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Individual

ZACHARY JAMES VAN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
WA
133V00000X
Registered Dietitian
Primary
DI60117872
WA

Other

Enumeration date
09/23/2019
Last updated
10/02/2019
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