Individual
ABBY ELIZABETH WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
27-29 LOURDES RD, BINGHAMTON, NY 13905-4205
(607) 772-6269
Mailing address
613 GATEWAY INDUSTRIAL PARK RD, ATHENS, PA 18810-9234
(570) 423-0636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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