Individual
TREVOR SHANE HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
641 OLD ROUTE 17, MONTICELLO, NY 12701-7014
(928) 920-6351
Mailing address
116 FRANCIS DR, NARROWSBURG, NY 12764-5728
(928) 920-6351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86041583
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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