Individual
MRS. FRANCIENE M WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7431
Mailing address
777 CRESTVIEW DR, BOARDMAN, OH 44512-3228
(330) 726-7947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD4503
OH
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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