Madalyn Wimberley
Dietitian, Registered in Junction, TX. Individual provider (NPI-1).
NPI number1134860463
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1134860463
- Entity type
- Individual (NPI-1)
- Name
- Madalyn Wimberley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2022
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | dt85802 | TX | Yes |
Practice location
349 Reid RdJunction, TX 76849-3049
Phone 254-446-3321
Mailing address
349 Reid RdJunction, TX 76849-3049
Phone 806-223-3008
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