Individual
MRS. JILL CHANDLER WICKREMASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 364-3715
Mailing address
1600 WALLACE BLVD, BAPTIST ST. ANTHONY HEALTH SYSTEM, AMARILLO, TX 79106-1799
(806) 212-0577
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81401
TX
Other
Enumeration date
11/10/2010
Last updated
05/19/2023
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