Individual
JESSICA MARIE WIKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1077
Mailing address
1860 WHITE OAK DR, APT 241, HOUSTON, TX 77009-7556
(832) 834-6411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86452
TX
Other
Enumeration date
12/11/2020
Last updated
10/28/2021
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