Organization
WILDER NUTRITION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARBIE L WILDER RD (SOLE PROPRIETOR)
(813) 748-9303
Entity
Organization
Contact information
Practice address
184 VALENCIA CIR, SAINT PETERSBURG, FL 33716-1298
(813) 748-9303
Mailing address
184 VALENCIA CIR, SAINT PETERSBURG, FL 33716-1298
(813) 748-9303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5225
FL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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