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Individual

AMANDA E VADALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
216 CONKLIN AVE, SYRACUSE, NY 13206
(315) 480-0779
Mailing address
216 CONKLIN AVE, SYRACUSE, NY 13206
(315) 480-0779

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NY

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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