Individual
MRS. WENDY DEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, IBCLC
Contact information
Practice address
720 SW 156TH ST, OKLAHOMA CITY, OK 73170-7614
(405) 215-9248
(405) 896-9268
Mailing address
720 SW 156TH ST, OKLAHOMA CITY, OK 73170-7614
(405) 215-9248
(405) 896-9368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2098
OK
174N00000X
Lactation Consultant (Non-RN)
L-302871
—
Other
Enumeration date
11/10/2015
Last updated
04/23/2026
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