Individual
MS. MOLLIE MCLEOD TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2057 DREAM CATCHER PLZ, ONEIDA, NY 13421-2729
(315) 829-8700
Mailing address
2057 DREAM CATCHER PLZ, ONEIDA, NY 13421-2729
(315) 829-8700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1046166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01705682
—
NY
Enumeration date
04/19/2019
Last updated
04/19/2019
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