Individual
MRS. AMY SWART WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CNSC
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
827 N HOLLYWOOD WAY # 180, BURBANK, CA 91505-2814
(818) 885-8500
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
717544
AZ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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