Individual
BETHANIE TINOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 KNABNER RD, MECHANICVILLE, NY 12118-3074
(518) 871-3314
Mailing address
19 KNABNER RD, MECHANICVILLE, NY 12118-3074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011631
NY
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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