Individual
MADELINE WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N GRANT ST APT 425, DENVER, CO 80203-1253
(318) 834-0158
Mailing address
7 ONONDAGA ST, SKANEATELES, NY 13152-1313
(315) 739-4459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86293321
CO
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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