Individual
MRS. ANDREA ROSE BOWMAN-DEFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
12234 ROUTE 39, PERRYSBURG, NY 14129-9712
(716) 532-1268
Mailing address
56 MARTHA PL, HAMBURG, NY 14075-5222
(716) 583-2676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009760
NY
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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