Individual
DIANA LEAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
301 FAYETTEVILLE ST, 2910, RALEIGH, NC 27601-1974
(512) 666-7730
Mailing address
301 FAYETTEVILLE ST, 2910, RALEIGH, NC 27601-1974
(512) 666-7730
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004031
NC
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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