Individual
BECKY WIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-4034
Mailing address
531 WINANS RD, APT A, WEST POINT, NY 10996-1216
(845) 839-0157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004593
PA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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