Individual
BRIANNA MARIE WALLENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, RD
Contact information
Practice address
244 WAYSIDE DR, DEPEW, NY 14043-1722
(716) 803-5770
Mailing address
98 RIDGEWOOD RD, BUFFALO, NY 14220-2224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86098649
NY
Other
Enumeration date
01/08/2019
Last updated
03/12/2025
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