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Organization
WELLFORM NUTRITION & REGULATORY CONSULTING INC.
Active
Organization
WELLFORM NUTRITION & REGULATORY CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MARGARET FAUTAS RD, CDN (OWNER)
(631) 356-8666
Entity
Organization
Contact information
Practice address
37 OLD TOWN LN, HALESITE, NY 11743-2214
(631) 356-8666
Mailing address
37 OLD TOWN LN, HALESITE, NY 11743-2214
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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