Individual
JACQUELINE E WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
3 ORCHARD DR, PURCHASE, NY 10577-2205
(917) 797-7809
Mailing address
3 ORCHARD DR, PURCHASE, NY 10577-2205
(917) 797-7809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/29/2021
Last updated
07/15/2022
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