Joan E Hagen, RD

NPI #1801016340 in Tucumcari, New Mexico

Provider Information

NPI Number: 1801016340
Entity Type: Individual
Name: Joan E Hagen, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 301 E MIEL DE LUNA AVE
City: Tucumcari
State: New Mexico
ZIP Code: 88401-3810
Phone: (505) 461-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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