Individual
VIRGINIA LOIS WOOLLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
CHINLE COMPREHENSIVE HEALTHCARE FACILITY, US 191, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX 2436, CHINLE, AZ 86503-2436
(919) 721-5387
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108813
NC
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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