Individual
CHRISTINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, LN
Contact information
Practice address
615 HIGHPARK LN, RALEIGH, NC 27608-1793
(858) 682-7989
Mailing address
615 HIGHPARK LN, RALEIGH, NC 27608-1793
(858) 682-7989
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU0002
NC
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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