Individual
TRACY DAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2A RICHMOND AVE, BATAVIA, NY 14020-1408
(585) 344-0628
Mailing address
72 MAPLELEAF DR, BUFFALO, NY 14221-2714
(713) 447-7856
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133V00000X
—
NY
Enumeration date
12/17/2018
Last updated
12/17/2018
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