Organization
KIMBERLEY WIEMANN NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY WIEMANN RD (REGISTERED DIETITIAN)
(631) 921-2851
Entity
Organization
Contact information
Practice address
12 MELLOW LN, WESTBURY, NY 11590-6325
(631) 921-2851
Mailing address
12 MELLOW LN, WESTBURY, NY 11590-6325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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