Individual
MICHELE WILBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
314 ITHACA RD, ITHACA, NY 14850-4818
(607) 227-6993
Mailing address
314 ITHACA RD, ITHACA, NY 14850-4818
(607) 227-6993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006114
NY
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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