Individual
GAYLYN RESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10935 W WELLS ST, WAUWATOSA, WI 53226-3745
(414) 476-9199
Mailing address
10935 W WELLS ST, WAUWATOSA, WI 53226
(414) 476-9199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2125-29
WI
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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