Individual
JANETMARIE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR/CDN
Contact information
Practice address
2165 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2755
(585) 241-5869
(585) 241-5875
Mailing address
2165 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2755
(585) 241-5869
(585) 241-5875
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
0039731
NY
Other
Enumeration date
02/28/2007
Last updated
05/20/2014
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