Individual
MISS ASHLEY NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5955 ZEAMER AVE, 673D MDG, JBER, AK 99506-3702
(907) 552-8890
Mailing address
5955 ZEAMER AVE, 673D MDG, JBER, AK 99506-3702
(907) 552-8890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86033504
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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