LACEY MICHELLE WAGNER

WENATCHEE, WA
NPI1043855315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI61022519)
Enumeration Date2019-11-11
Last Update Date2019-11-20
Business Address
LACEY MICHELLE WAGNER RD
1201 S MILLER ST
WENATCHEE, WA 98801-3201
Phone number: 509-662-1511
Mailing Address
LACEY MICHELLE WAGNER RD
1201 S MILLER ST
WENATCHEE, WA 98801-3201
Phone number: 509-662-1511
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