Individual
ALLYSE MARIE WIENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LDN
Contact information
Practice address
158 NORTH ST, NORTH ADAMS, MA 01247-2355
(413) 884-4968
Mailing address
158 NORTH ST, NORTH ADAMS, MA 01247-2355
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LDN3192
MA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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