Individual
MRS. RAYNA MOLLIE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO, CDN
Contact information
Practice address
12 BABYLON ST, HOLTSVILLE, NY 11742-1203
(516) 993-8183
Mailing address
12 BABYLON ST, HOLTSVILLE, NY 11742-1203
(516) 993-8183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86043472
—
133VN1301X
Oncology Nutrition Registered Dietitian
86043472
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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