Individual
SHELLY WINGERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5597
Mailing address
PO BOX 1833, SANTA CRUZ, CA 95061-1833
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
958514
CA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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