Individual
MRS. THERESA A LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17 NOTTINGHAM WAY S, CLIFTON PARK, NY 12065-1715
(518) 429-7506
Mailing address
17 NOTTINGHAM WAY S, CLIFTON PARK, NY 12065-1715
(518) 429-7506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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