DR. Wanda Marie Koszewski, PHD, RD, LD

NPI #1144016882 in Fort Mill, South Carolina

Provider Information

NPI Number: 1144016882
Entity Type: Individual
Name: DR. Wanda Marie Koszewski, PHD, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: PHD, RD, LD
Enumeration Date: Apr 18, 2025
Last Updated: Apr 18, 2025

Practice Location

Address: 1125 TRADITIONS DR APT 415
City: Fort Mill
State: South Carolina
ZIP Code: 29715-8555
Phone: (803) 979-0358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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