Individual
STEPHANIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
8120 SHERIDAN BLVD BLDG C, ARVADA, CO 80003-6104
(708) 717-7394
Mailing address
7275 W 29TH AVE, WHEAT RIDGE, CO 80033-8061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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