Individual
LISA KIM DEGUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
38 MADISON CT, WALLKILL, NY 12589-3006
(845) 527-5014
Mailing address
38 MADISON CT, WALLKILL, NY 12589-3006
(845) 527-5014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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