Individual
MRS. WANDA L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., RDN, CLC
Contact information
Practice address
6 THIRTEENTH AVENUE EAST, POSLON, MT 59860
(406) 883-8454
Mailing address
PO BOX 1010, POLSON, MT 59860-1010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-581
MT
Other
Enumeration date
08/13/2014
Last updated
06/21/2021
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