Individual
MS. EMILY JAYNE SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
99 EAST STATE STREET, GLOVERSVILLE, NY 12078
(518) 773-5411
Mailing address
99 EAST STATE STREET, GLOVERSVILLE, NY 12078
(518) 773-5411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009987-01
NY
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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