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Individual

KAITLYN MARIE WENGRYNIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
1126 SALINA ST, AUSTIN, TX 78702-2730
(216) 403-7937
Mailing address
17329 LONG MEADOW TRL, CHAGRIN FALLS, OH 44023-5617
(216) 403-7937

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1004X
Pediatric Nutrition Registered Dietitian
7511
OH

Other

Enumeration date
09/18/2014
Last updated
11/03/2022
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