Individual
AMANDA WAHLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E 16TH ST, NEW YORK, NY 10003-3746
(917) 370-3538
Mailing address
205 E 16TH ST, NEW YORK, NY 10003-3746
(917) 370-3538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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