Individual
AMANDA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
32060 LONG NECK RD, MILLSBORO, DE 19966-6228
(302) 947-2909
Mailing address
113 SCHOOL PL, MILFORD, DE 19963-1821
(302) 222-4736
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000303
DE
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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