Individual
JENNA GUADAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
300 INTERNATIONAL DR STE 100, WILLIAMSVILLE, NY 14221-5783
(716) 710-7022
Mailing address
40 MONTREPOSE AVE FL 2, KINGSTON, NY 12401-6526
(716) 909-0360
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009254
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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