Marilyn C. Wadum RD, LMNT

NPI 1619172913 - Nutritionist - 133N00000X

NPI Details
NPI 1619172913
Gender Female
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8601 W DODGE RD
SUITE # 30
OMAHA NE, 68114-3457, US
Phone (402) 354-8797
Fax (402) 354-5651
Business Location
5506 S 104TH CIR
OMAHA NE, 68127-3036, US
Phone (402) 592-3610
Fax
Toxanomy
Taxonomy Code 133N00000X
License State Nebraska
License Number 183
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According to our database, Marilyn C. Wadum RD, LMNT NPI is 1619172913, taxonomy code is 133N00000X and license number is 183, license state is located at Nebraska. Marilyn C. Wadum RD, LMNT physically located at 8601 W Dodge Rd, Omaha NE, 68114-3457. NPI Number Marilyn C. Wadum RD, LMNT has the Individual type.

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1619172913 NPI number is provided on an as is basis without warranty of any kind. 1619172913 is maintained by the National Plan & Provider Enumeration System. The contents of Marilyn C. Wadum RD, LMNT are for informational purposes only.