Individual
LOYANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNIVERSITY AVE, SACRAMENTO, CA 95825-6504
(916) 830-2000
Mailing address
500 UNIVERSITY AVE, SACRAMENTO, CA 95825-6504
(916) 830-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
670740
CA
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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