Individual
EMILY L WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3816 FOSTER AVE, BALTIMORE, MD 21224-4337
(443) 617-2330
Mailing address
3816 FOSTER AVE, BALTIMORE, MD 21224-4337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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