| NPI | 1003380791 |
|---|---|
| Other Name | JOLEENRD |
| Entity Type | Organization |
| Authorized Contact | JOLEEN WILSON Registered Dietitian, Owner 918-280-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-12-31 |