Amanda Wikan LLC

NPI #1316791528 in Prescott, Arizona

Provider Information

NPI Number: 1316791528
Entity Type: Organization
Organization Name: Amanda Wikan LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 15, 2024
Last Updated: Apr 15, 2024

Practice Location

Address: 250 S MCCORMICK ST
City: Prescott
State: Arizona
ZIP Code: 86303-4714
Phone: (563) 277-2015

Authorized Official

Name: AMANDA WIKAN, RD
Title: MANAGER
Phone: (563) 277-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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