Individual
LISA TRINKWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 N PROSPECT AVE, PATCHOGUE, NY 11772-2249
(631) 252-2486
Mailing address
10 MAPLE AVE, PATCHOGUE, NY 11772-2848
(516) 690-3657
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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