Individual
MISS RACHEL LAUREN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
3300 JAMES ST STE 4, SYRACUSE, NY 13206-2670
(315) 256-4764
Mailing address
3300 JAMES ST STE 4, SYRACUSE, NY 13206-2670
(315) 256-4764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86057803
NY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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