Individual
RALPH WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
1005 WIGWAM PKWY, 23206, HENDERSON, NV 89074
(954) 649-7065
Mailing address
1005 WIGWAM PKWY, 23206, HENDERSON, NV 89074
(954) 649-7065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1030536
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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