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Individual

MARA LYNNE TROJANSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,CDN

Contact information

Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001803-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040426003112
FIDELIS
NM
Enumeration date
06/15/2006
Last updated
07/08/2007
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