Individual
MARYBETH KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-2643
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-2643
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001449
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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