Wagstaff, Amber James

Wagstaff, Amber James is an sole proprietor health care provider with primary practice located at 23320 Canyon Lake Dr N , Canyon Lake CA 92587-8007. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagstaff, Amber James can be contacted via phone (714) 809-2993.

Contact Information

Primary practice address
23320 Canyon Lake Dr N Canyon Lake CA 92587-8007
Phone: (714) 809-2993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X California

Profile Details

NPI number 1093313603
LBN Legal business name Wagstaff, Amber James
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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