Individual
MARYLOU PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 NIXON PARK DR, SYRACUSE, NY 13215-9759
(315) 449-6923
Mailing address
4601 NIXON PARK DR, SYRACUSE, NY 13215-9759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004484-1
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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