Individual
MEGAN WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6627 W BROAD ST STE 400, RICHMOND, VA 23230-1733
(804) 774-4550
Mailing address
6627 W BROAD ST STE 400, RICHMOND, VA 23230-1733
(804) 774-4550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076751
VA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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