Individual
JENNIFER WIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1309 GOLDILOCKS LN, MANCHACA, TX 78652-4532
(512) 522-6136
Mailing address
1309 GOLDILOCKS LN, MANCHACA, TX 78652-4532
(404) 825-7331
(866) 533-2028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
07/27/2020
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