Individual
JESSICA N WOLANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1481 W 10TH ST, DEPT 120, INDIANAPOLIS, IN 46202-2803
(317) 988-2855
Mailing address
1481 W 10TH ST, DEPT 120, INDIANAPOLIS, IN 46202-2803
(317) 988-2855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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