Individual
BETHANY WAALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
N23W25025 VALLEYVIEW LN, PEWAUKEE, WI 53072-4632
(920) 740-0611
Mailing address
N23W25025 VALLEYVIEW LN, PEWAUKEE, WI 53072-4632
(920) 740-0611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086089384
WI
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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