Individual
AMANDA JO WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LD/N, CLC
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
Mailing address
1124 SW 45TH TER, CAPE CORAL, FL 33914-6341
(402) 432-6442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND11458
FL
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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