Individual
SUSAN MARIE DIGIACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 E AND WEST RD, WEST SENECA, NY 14224-3604
(716) 517-3853
Mailing address
618 CHAMBERS ST, SPENCERPORT, NY 14559-9766
(585) 352-1797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
897809
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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