Individual
MS. SHANNON L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
2829 WEHRLE DR STE 7B, WILLIAMSVILLE, NY 14221-7387
(716) 626-7415
Mailing address
2829 WEHRLE DR STE 7B, WILLIAMSVILLE, NY 14221-7387
(716) 626-7415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
04/11/2026
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