Danielle Marie Wagner, RDN, LDN

NPI #1780035642 in Twin Falls, Idaho

Provider Information

NPI Number: 1780035642
Entity Type: Individual
Name: Danielle Marie Wagner, RDN, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN, LDN
Enumeration Date: Jun 22, 2016
Last Updated: Jun 22, 2016

Practice Location

Address: 801 POLE LINE RD W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5810
Phone: (208) 814-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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