Individual
JESSICA SHELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992-2242
(845) 496-5437
Mailing address
10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992-2242
(845) 496-5437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48007994
NY
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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