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Individual

WIDALYS SOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.,L.D.

Contact information

Practice address
1920 JOHN WESLEY AVE, COLLEGE PARK, GA 30337-3606
(404) 765-4168
Mailing address
PO BOX 342, JONESBORO, GA 30237-0342
(770) 473-6075

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002227
GA

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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