Individual
WALTER WANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 343-2383
(570) 343-3923
Mailing address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 343-2383
(570) 343-3923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002312
PA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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