Individual
HOLLY ANN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4408 SPICEWOOD SPRINGS RD, AUSTIN, TX 78759-8504
(509) 760-6467
Mailing address
3466 WILLOWRUN DR APT E, AUSTIN, TX 78704-7312
(509) 760-6467
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87266
TX
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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