Individual
ASHLEY RENE WANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15015 LANCASTER HWY, STE 200, MATTHEWS, NC 28105-5131
(207) 650-9068
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
(980) 202-7980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
05/18/2026
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