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Individual

MRS. HEIDI ANN DASHNAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDN

Contact information

Practice address
4900 BROAD RD, POB NORTH 2B, SYRACUSE, NY 13215-2265
(315) 492-5587
Mailing address
7700 MYERS RD, KIRKVILLE, NY 13082-9779
(315) 656-3434

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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