Individual
VANESSA WISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 920-7394
Mailing address
3411 WAYNE AVE, SUITE 4M, BRONX, NY 10467-2509
(718) 920-7394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1025483
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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