Individual
MS. WANDA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MS, NBC-HWC
Contact information
Practice address
36 WONDY WAY, DANBURY, CT 06811
(203) 788-7589
Mailing address
36 WONDY WAY, DANBURY, CT 06811
(203) 788-7589
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004619
CT
124Q00000X
Dental Hygienist
018979-1
NY
124Q00000X
Dental Hygienist
03028
NH
171400000X
Health & Wellness Coach
IDA-3159986
—
Other
Enumeration date
11/11/2014
Last updated
02/27/2023
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