Organization
MARIA LIFESTYLE NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA I AGUERO DE MANUNTA (OWNER OF ENTITY)
(716) 308-0013
Entity
Organization
Contact information
Practice address
38 SUMMERVIEW RD, WILLIAMSVILLE, NY 14221-1310
(716) 308-0013
Mailing address
38 SUMMERVIEW RD, WILLIAMSVILLE, NY 14221-1310
(716) 308-0013
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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