Individual
JANELLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, MS
Contact information
Practice address
3 WOODROW AVE, TUPPER LAKE, NY 12986-1008
(518) 524-7610
Mailing address
3 WOODROW AVE, TUPPER LAKE, NY 12986-1008
(518) 524-7610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085288
NY
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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