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Individual

MS. DIETLINDE WOLTER-NITTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(718) 920-5922
Mailing address
3411 WAYNE AVE, SUITE G, BRONX, NY 10467-2509
(718) 920-5922
(718) 920-5202

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000558
NY

Other

Enumeration date
04/20/2012
Last updated
04/20/2012
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