Jennifer E Wilson RD

NPI 1316009384 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1316009384
Gender Female
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
335 BRIGHTON AVE
PORTLAND ME, 04102-2362, US
Phone (207) 662-8321
Fax
Business Location
335 BRIGHTON AVE
PORTLAND ME, 04102-2362, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Maine
License Number 292511
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According to our database, Ms. Jennifer E Wilson RD NPI is 1316009384, taxonomy code is 133V00000X and license number is 292511, license state is located at Maine. Jennifer E Wilson RD physically located at 335 Brighton Ave, Portland ME, 04102-2362. NPI Number Jennifer E Wilson RD has the Individual type.

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1316009384 NPI number is provided on an as is basis without warranty of any kind. 1316009384 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer E Wilson RD are for informational purposes only.