Individual
MRS. SHIRLEY MAY WILSON-SIGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184898850
—
TX
01
—
164001735
IL DIV PROFESSIONAL REG
IL
Enumeration date
04/14/2008
Last updated
04/19/2011
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