Healthcare Provider Details

I. General information

NPI: 1073283990
Provider Name (Legal Business Name): ALAYNA L. GUZAK RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALAYNA LETTERI

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 N HAMILTON RD
WESTERVILLE OH
43081-2062
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-814-8100
  • Fax:
Mailing address:
  • Phone: 614-293-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number08663
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: