Individual
WENDYANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 688-8000
(718) 385-5104
Mailing address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 688-8000
(718) 385-5104
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
005575
NY
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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