Individual
JEANETTE WAEGELEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
38C GROVE ST, RIDGEFIELD, CT 06877-4669
(203) 900-4416
Mailing address
6000 ROYAL CT UNIT 6201, NORTH HILLS, NY 11040-2614
(845) 206-1503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
010542
NY
133V00000X
Registered Dietitian
1959
CT
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
07/06/2021
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