Most Relevant Information
Provider Data
| NPI Number: | 1003390428 |
| Provider Name: | LIANA MARIE WAYBRIGHT RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133VN1004X |
| Specialty: | Dietitian, Registered |
| License Number: | LDN00908 |
Most Important Dates
| Enumeration Date: | 09/21/2018 |
| Last Updated: | 09/21/2018 |
Provider Practice Location
EAST GREENWICH SPECIALTY CLINIC
1454 SOUTH COUNTY TRAIL
EAST GREENWICH
RI
02818
Practice Location Phone/Fax
| Phone: | 4014445980 |
| Fax: |
Provider Mailing Location
117 ELLENFIELD ST
PROVIDENCE
RI
029054513
Provider Mailing Phone/Fax
| Phone: | 4014445640 |
| Fax: | 4014445462 |