STEPHANIE R WAGONER

SEATTLE, WA
NPI1346608452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  1039941)
Enumeration Date2016-02-03
Last Update Date2016-02-03
Business Address
-- STEPHANIE R WAGONER RD
5505 27TH AVE NE APT 2
SEATTLE, WA 98105-5540
Phone number: 360-609-2555
Mailing Address
-- STEPHANIE R WAGONER RD
5505 27TH AVE NE APT 2
SEATTLE, WA 98105-5540
Phone number: 360-609-2555
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