Individual
JULIEANNE CYHANIUK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
12462 PUTNAM ST STE 3030, WHITTIER, CA 90602-1048
(562) 698-0811
(562) 789-4335
Mailing address
10418 BOGARDUS AVE UNIT 2, WHITTIER, CA 90603-2600
(909) 731-2558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86079631
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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