Individual
ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
937 S 3RD ST APT A, COLUMBUS, OH 43206-2542
(614) 304-1857
Mailing address
937 S 3RD ST APT A, COLUMBUS, OH 43206-2542
(419) 206-9531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067574
OH
Other
Enumeration date
03/15/2020
Last updated
05/27/2020
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