Individual
SARA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GRASSHOPPER LN, KENNEBUNK, ME 04043-6815
(207) 286-4996
Mailing address
5 GRASSHOPPER LN, KENNEBUNK, ME 04043-6815
(207) 286-4996
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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