Mary Wilson, RD

NPI #1366115461 in Southlake, Texas

Provider Information

NPI Number
1366115461
Entity Type
Individual
Name
Mary Wilson, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Jul 26, 2021
Last Updated
Jul 26, 2021

Practice Location

Address
620 E SOUTHLAKE BLVD
State
Texas
ZIP Code
76092-6236
Phone
(214) 623-6270

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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