Individual
ELIZABETH WARREN WICKLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2193 GLENBAR DR, GERMANTOWN, TN 38139-5418
(901) 218-9516
Mailing address
2193 GLENBAR DR, GERMANTOWN, TN 38139-5418
(901) 218-9516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002650
TN
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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