Individual
MRS. WENDY SUSAN PETUSEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4725 N FEDERAL HWY, NUTRITION SERVICES DEPARTMENT, FT LAUDERDALE, FL 33308-4603
(954) 771-8000
(954) 776-3266
Mailing address
4725 N FEDERAL HWY, NUTRITION SERVICES DEPARTMENT, FT LAUDERDALE, FL 33308-4603
(954) 771-8000
(954) 776-3266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4082
FL
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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