Individual
JAMIE COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
323 N GREENFIELD RD, PORTER CORNERS, NY 12859-1832
(518) 588-4268
Mailing address
323 N GREENFIELD RD, PORTER CORNERS, NY 12859-1832
(518) 588-4268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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