Individual
AUDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
300 RANDALL RD STE 100, GENEVA, IL 60134-4200
(630) 933-3513
Mailing address
1217 RITA AVE, SAINT CHARLES, IL 60174-4441
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
164006665
IL
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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