Molly Wagman, | |
262 S Elm St, Arroyo Grande, CA 93420-3065 | |
(925) 389-0926 | |
Not Available |
Full Name | Molly Wagman |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 262 S Elm St, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518412386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1096937 (California) | Primary |
Provider Name | 9amhealth Medical Group, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982304713 PECOS PAC ID: 5496117293 Enrollment ID: O20230810002480 |
Mailing Address | Practice Location Address |
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Molly Wagman, 262 S Elm St, Arroyo Grande, CA 93420-3065 Ph: (925) 389-0926 | Molly Wagman, 262 S Elm St, Arroyo Grande, CA 93420-3065 Ph: (925) 389-0926 |
Melissa Dae Conrey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 563 S Traffic Way, Arroyo Grande, CA 93420 Phone: 602-145-5077 | |
Miss Jessica Lynn Gust, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 405 East Branch Street #102, Arroyo Grande, CA 93420 Phone: 805-550-1724 Fax: 805-476-1435 | |
Michele Daniele, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 345 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 661-478-9861 | |
Elisa Geissel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 798 Phillips Rd, Arroyo Grande, CA 93420 Phone: 661-428-1446 | |
Aida Amanda Moreno, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Arroyo Grande, CA 93420 Phone: 805-473-6201 | |
Taylor Fink, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Arroyo Grande, CA 93420 Phone: 805-473-6201 Fax: 805-473-6291 |