Joyce D Wickham RD

NPI 1366571598 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1366571598
Gender Female
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
800 S WILBUR AVE
SYRACUSE NY, 13204-2732, US
Phone (315) 478-0463
Fax (315) 476-9757
Business Location
5079 WEBSTER MILE DR
SYRACUSE NY, 13215-2451, US
Phone (315) 469-6825
Fax
Toxanomy
Taxonomy Code 133V00000X
License State New York
License Number 001993-1
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According to our database, Mrs. Joyce D Wickham RD NPI is 1366571598, taxonomy code is 133V00000X and license number is 001993-1, license state is located at New York. Joyce D Wickham RD physically located at 800 S Wilbur Ave, Syracuse NY, 13204-2732. NPI Number Joyce D Wickham RD has the Individual type.

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1366571598 NPI number is provided on an as is basis without warranty of any kind. 1366571598 is maintained by the National Plan & Provider Enumeration System. The contents of Joyce D Wickham RD are for informational purposes only.