Sandra Jean Hagen, RD
Dietitian, Registered in Cresco, IA. Individual provider (NPI-1).
NPI number1982818639
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1982818639
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sandra Jean Hagen
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 00371 | IA | Yes |
Practice location
235 8th Ave WCresco, IA 52136-1062
Phone 563-547-2101 · Fax 563-547-3448
Mailing address
235 8th Ave WCresco, IA 52136-1062
Phone 563-547-2101 · Fax 563-547-3448
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