TERESA L WAGNER

FORT WORTH, TX
NPI1275096364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT02954)
Enumeration Date2019-04-08
Last Update Date2023-11-27
Business Address
TERESA L WAGNER DrPH, MS, CPH, RD/LD
5841 RECREATION DR APT 2404
FORT WORTH, TX 76109-1068
Phone number: 817-805-1252
Mailing Address
TERESA L WAGNER DrPH, MS, CPH, RD/LD
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-0387
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