Individual
HOLLY JOY WADESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3416 BAY SHORE BND SE, MANDAN, ND 58554-6259
(701) 730-0979
Mailing address
3416 BAY SHORE BND SE, MANDAN, ND 58554-6259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
938
ND
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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