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Individual

MRS. SHELLEY BOLT WILKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
23 SUNNYBROOK RD STE 200, RALEIGH, NC 27610-1855
(919) 234-6435
(919) 231-0314
Mailing address
23 SUNNYBROOK RD STE 200, RALEIGH, NC 27610-1855
(919) 234-6435
(919) 231-0314

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
962233
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
L002674
NC

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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