Individual
RACHEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
690 KINDERKAMACK RD STE 202, ORADELL, NJ 07649-1524
(201) 523-9205
Mailing address
17 MONTCLAIR AVE APT 1, MONTCLAIR, NJ 07042-4071
(516) 306-6085
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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