Individual
MRS. JENNIFER LEIGH WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1463 OLD TARA LANE, FORT MILL, SC 29708-8004
(704) 996-8195
Mailing address
1463 OLD TARA LANE, FORT MILL, SC 29708-8004
(704) 996-8195
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002432
NC
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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