Individual
LAURA JULIANE ISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.D., CD-N
Contact information
Practice address
521 BOICES LANE TACONIC DDSO, KINGSTON, NY 12401
(845) 382-1899
Mailing address
521 BOICES LANE TACONIC DDSO, KINGSTON, NY 12401
(845) 382-1899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006301-1
NY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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