Individual
RUTH ELAINE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Contact information
Practice address
315 LEHMAN AVE STE C, TOPEKA, IN 46571-9476
(260) 593-0108
Mailing address
27182 OAK DR, STURGIS, MI 49091-9143
(574) 253-2445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000982A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37000982A
STATE LICENSE
IN
Enumeration date
05/12/2008
Last updated
07/29/2019
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