JENNIFER E WILSON

PORTLAND, ME
NPI1316009384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ME  292511)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
Ms. JENNIFER E WILSON RD
335 BRIGHTON AVE
PORTLAND, ME 04102-2362
Phone number: 207-662-8321
Mailing Address
Ms. JENNIFER E WILSON RD
335 BRIGHTON AVE
PORTLAND, ME 04102-2362
Phone number: