Individual
CRYSTAL WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
5713 WALNUT WALK DR, NORTH CHESTERFIELD, VA 23237-2636
(804) 691-0177
Mailing address
5713 WALNUT WALK DR, NORTH CHESTERFIELD, VA 23237-2636
(804) 691-0177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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