Elizabeth Wagner, RD, CCN
NPI #1134302565 in Coronado, California
Provider Information
- NPI Number
- 1134302565
- Entity Type
- Individual
- Name
- Elizabeth Wagner, RD, CCN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, CCN
- Enumeration Date
- Dec 7, 2007
- Last Updated
- Apr 1, 2011
Practice Location
- Address
- 1224 10TH ST STE 207
- City
- Coronado
- State
- California
- ZIP Code
- 92118-3420
- Phone
- (619) 437-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
| Dietitian, Registered |
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