Individual
JULIE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 ARCH ST, JOHNSON CITY, NY 13790-2102
(607) 763-6092
(607) 763-6677
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007751
NY
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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