MS. Elaine A. Hagen, RD, CD

NPI #1790843407 in Elkhart, Indiana

Provider Information

NPI Number
1790843407
Entity Type
Individual
Name
MS. Elaine A. Hagen, RD, CD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, CD
Enumeration Date
Dec 5, 2006
Last Updated
Oct 19, 2010

Practice Location

Address
600 EAST BLVD
Address 2
NUTRITION SERVICES DEPARTMENT
State
Indiana
ZIP Code
46514-2483
Phone
(574) 523-3236

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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