Individual
KIMBERLY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7664
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
04/01/2015
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