Individual
MISS MOLLY ANNE ROCKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6109
Mailing address
505 ONTARIO DR, ONTARIO, NY 14519-9344
(585) 309-6435
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009450-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009450
NYS
NY
Enumeration date
08/29/2018
Last updated
08/29/2018
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