Holly Joy Wadeson, RD
Dietitian, Registered in Mandan, ND. Individual provider (NPI-1).
NPI number1649760976
StatusActive
Last updated in NPPESMay 11, 2018
Details
- NPI
- 1649760976
- Entity type
- Individual (NPI-1)
- Name
- Holly Joy Wadeson
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2018
- Last updated
- May 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 938 | ND | Yes |
Practice location
3416 Bay Shore Bnd SeMandan, ND 58554-6259
Phone 701-730-0979
Mailing address
3416 Bay Shore Bnd SeMandan, ND 58554-6259
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