Individual
MRS. GINA WILDERSPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
355 WOLCOTT LN, BATAVIA, IL 60510-2874
(630) 452-2693
Mailing address
355 WOLCOTT LN, BATAVIA, IL 60510-2874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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