Individual
JULIANA WISHNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1401 DEVINE ST OFC 116F, COLUMBIA, SC 29208-3902
(803) 777-8530
Mailing address
1401 DEVINE ST OFC 116F, COLUMBIA, SC 29208-3902
(803) 777-8530
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1626
SC
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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