Individual
MRS. DONNA WILGUS MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2121 BETA CT, ORANGE PARK, FL 32073-5103
(407) 388-4083
Mailing address
2121 BETA CT, ORANGE PARK, FL 32073-5103
(407) 388-4083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4650
FL
Other
Enumeration date
04/29/2025
Last updated
05/02/2025
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