Individual
NAN MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 FITCH ST, ELMIRA, NY 14905-1634
(607) 737-8151
(607) 737-8104
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001021
NY
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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