Individual
SARA WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CEDRD
Contact information
Practice address
1042 WASHINGTON ST, RALEIGH, NC 27605-1258
(228) 326-8713
Mailing address
5719 CLEARBAY LN, RALEIGH, NC 27612-8601
(228) 326-8713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004909
NC
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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