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Individual

WENDY SUSANNE WATSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 713-6919
(336) 713-3038
Mailing address
3355 VICTORIA PARK LN, WINSTON-SALEM, NC 27103-6453
(336) 768-3257

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002648
NC

Other

Enumeration date
05/17/2006
Last updated
07/08/2007
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