Organization
GWI NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN WILLIAMS ISLER MS, RD, LD (PRESIDENT, FOUNDER, CEO)
(540) 678-0600
Entity
Organization
Contact information
Practice address
21 S KENT ST, WINCHESTER, VA 22601-5079
(540) 678-0600
Mailing address
21 S KENT ST, WINCHESTER, VA 22601-5079
(540) 678-0600
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801996566
NPI
—
Enumeration date
02/13/2015
Last updated
02/13/2015
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