Individual
MRS. ASHLEY DIANE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CCDES
Contact information
Practice address
1783 ROUTE 9 STE 101, HALFMOON, NY 12065-2467
(518) 881-1091
(518) 881-0796
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
007330
NY
133V00000X
Registered Dietitian
Primary
007330-1
NY
Other
Enumeration date
01/09/2012
Last updated
06/18/2025
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