Individual
MRS. BRENDA ESTELLE WIERSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-4155
Mailing address
377 WAYEESES SHORES RD, PO 153, MORGAN, VT 05853
(802) 334-4155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0740000139
VT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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