Abby Jan Wilson, RD, LD, CDE

NPI #1033544580 in Pocatello, Idaho

Provider Information

NPI Number
1033544580
Entity Type
Individual
Name
Abby Jan Wilson, RD, LD, CDE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD, CDE
Enumeration Date
Sep 3, 2013
Last Updated
Oct 9, 2018

Practice Location

Address
957 HOSPITAL WAY BLDG D
State
Idaho
ZIP Code
83201-5096
Phone
(208) 239-2070

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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