Individual
ERICA WESSELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
231 MORGAN FARM DR, LEESBURG, GA 31763-3579
(319) 415-1610
Mailing address
231 MORGAN FARM DR APT SUITE, LEESBURG, GA 31763-3579
(319) 415-1610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01684
IA
133V00000X
Registered Dietitian
Primary
961121
—
133V00000X
Registered Dietitian
LD004996
GA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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