Amber James Wagstaff, RDN

NPI #1093313603 in Canyon Lake, California

Provider Information

NPI Number: 1093313603
Entity Type: Individual
Name: Amber James Wagstaff, RDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RDN
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 23320 CANYON LAKE DR N
City: Canyon Lake
State: California
ZIP Code: 92587-8007
Phone: (714) 809-2993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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