Individual
CHRISTIE L SUDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
15 SHADY ROCK RD, PENFIELD, NY 14526-9000
(585) 729-6565
Mailing address
15 SHADY ROCK RD, PENFIELD, NY 14526-9000
(585) 729-6565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
893926
NY
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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