Individual
MICHAEL JOSHUA WOOTSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007628
PA
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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