Individual
SUSAN L DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
5846 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 433-3053
Mailing address
5846 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 433-3053
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006016-1
NY
133V00000X
Registered Dietitian
Primary
892527
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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