SearchCalifornia133V00000X

Amber Wagstaff, RDN

NPI 1093313603 · on the registry since 2020 · sole proprietor

Practice

Address
23320 Canyon Lake Dr N
Canyon Lake, CA 92587
Phone
(714) 809-2993

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California