Individual
WENDY J MISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
834 RUSSELL CT, COLUMBIA, IL 62236-1548
(618) 420-6177
Mailing address
834 RUSSELL CT, COLUMBIA, IL 62236-1548
(618) 420-6177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004707
IL
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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