Individual
MRS. TRACEY SOULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CDE
Contact information
Practice address
110 W BAY PLZ, PLATTSBURGH, NY 12901-1785
(518) 569-2505
(888) 357-3499
Mailing address
1211 JERSEY SWAMP RD, MORRISONVILLE, NY 12962-3920
(518) 569-2505
(888) 357-3499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007197-1
NY
Other
Enumeration date
08/15/2011
Last updated
05/07/2019
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