Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roxanne Cora Wilson

Individual provider Registered Dietitian · NPI 1659098929

Roxanne Cora Wilson is a Registered Dietitian in Modesto, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86211207 (CA)

Record details

NPI number1659098929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 25, 2022
Mailing address4601 Dale Rd, Modesto, CA 95356-9718

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