ALYSE C WAGNER

NEW ALBANY, IN
NPI1801309489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37002830A)
Enumeration Date2017-11-06
Last Update Date2017-11-06
Business Address
ALYSE C WAGNER RD
2125 STATE ST STE 1
NEW ALBANY, IN 47150-4987
Phone number: 812-949-7151
Mailing Address
ALYSE C WAGNER RD
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 812-273-5392