Individual
SHELBY LYN WILMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
105 E HOSPITAL DR, SWEET SPRINGS, MO 65351-2229
(660) 335-7416
(660) 335-7487
Mailing address
105 E HOSPITAL DR, SWEET SPRINGS, MO 65351-2229
(660) 335-7416
(660) 335-7487
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2009037395
MO
Other
Enumeration date
12/15/2009
Last updated
12/31/2009
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