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Search › Connecticut › Registered Dietitian

Jody Wagner

NPI 1669860409 · on the registry since 2015 · sole proprietor

Practice

Address
130 Division St
Derby, CT 06418
Phone
(860) 478-8695
Organisation at this address
Sunrise Med Llc
The Griffin Hospital
Kenneth J Dobuler, M.D.
Griffin Pharmacy & Gifts
Pulmonary Specialties, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
254

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-01

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 Connecticut