Individual
BRITTANY LEE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6000
Mailing address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2928
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2928
STATE OF MINNESOTA
MN
Enumeration date
10/15/2010
Last updated
10/15/2010
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