Individual
LINDA CAROLE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3260 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 796-8691
(906) 796-8673
Mailing address
PO BOX 20704, JUNEAU, AK 99802-0704
(907) 723-3932
(907) 796-8673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
17
AK
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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