Individual
MRS. DAWN MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3702 LONG LAKE DR SE, LACEY, WA 98503-4056
(360) 239-9186
(360) 464-9999
Mailing address
700 SLEATER KINNEY RD. SE, STE B#227, LACEY, WA 98503
(360) 239-9186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953643
WA
Other
Enumeration date
12/16/2008
Last updated
07/25/2025
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