Wonderfully Well LLC

NPI #1902439508 in Gillette, Wyoming

Provider Information

NPI Number
1902439508
Entity Type
Organization
Organization Name
Wonderfully Well LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Feb 21, 2020
Last Updated
Feb 21, 2020

Practice Location

Address
2001 W LAKEWAY RD STE E
State
Wyoming
ZIP Code
82718-5774
Phone
(307) 710-6790

Authorized Official

Name
JAMIE MARCHETTI, MS, RDN, LD
Title
DIETITIAN/OWNER
Phone
(307) 710-6790

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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