Individual
MS. EILEEN JOYCE SHARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669
(315) 713-5018
(315) 713-5520
Mailing address
6830 COUNTY ROUTE 27, CANTON, NY 13617-3817
(315) 714-9418
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
861775
NY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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