Mrs Angela Day Waliszewski, RD, LDN | |
1732 Grand Overlook St, Colorado Springs, CO 80910-4490 | |
(719) 510-8120 | |
Not Available |
Full Name | Mrs Angela Day Waliszewski |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1732 Grand Overlook St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861775389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L002727 (North Carolina) | Primary |
Provider Name | Daily Dietetics, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083089197 PECOS PAC ID: 4284936360 Enrollment ID: O20160106001415 |
Mailing Address | Practice Location Address |
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Mrs Angela Day Waliszewski, RD, LDN 1732 Grand Overlook St, Colorado Springs, CO 80910-4490 Ph: (719) 510-8120 | Mrs Angela Day Waliszewski, RD, LDN 1732 Grand Overlook St, Colorado Springs, CO 80910-4490 Ph: (719) 510-8120 |
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