Individual
CAROLYN ANN BANACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 WHITESTONE LN, LANCASTER, NY 14086-1424
(716) 391-2145
Mailing address
38 WHITESTONE LN, LANCASTER, NY 14086-1424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1045826
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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