Individual
ROSEMARY ANNE SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD
Contact information
Practice address
661 S MAIN ST, CENTRAL SQUARE, NY 13036-9111
(315) 935-5321
Mailing address
661 S MAIN ST, CENTRAL SQUARE, NY 13036-9111
(315) 935-5321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86095899
NY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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