Individual
AMANDA LYNN LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1827
Mailing address
9823 CHADWICK LN, FORT WAYNE, IN 46818-8460
(505) 220-0928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002457A
IN
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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