Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
(319) 293-3174
Mailing address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
(319) 293-3174
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86083551
IA
Other
Enumeration date
05/29/2020
Last updated
06/13/2022
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