Individual
WENDY SUE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETICIAN
Contact information
Practice address
251 N 4TH ST, OAKLAND, MD 21550-1375
(301) 533-4010
(301) 533-4208
Mailing address
2169 MARYLAND LINE RD, BRUCETON MILLS, WV 26525-6223
(301) 533-4010
(301) 533-4208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11002
MD
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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