Individual
JOANNE MOORE WICKSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
582 HATTERAS CT SW, VERO BEACH, FL 32968-4023
(772) 794-0261
Mailing address
582 HATTERAS CT SW, VERO BEACH, FL 32968-4023
(772) 794-0261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4510
FL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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