Individual
TESSA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 GENESEE ST, DIETITARY, UTICA, NY 13501-5930
(315) 798-8104
(315) 798-8352
Mailing address
2209 GENESEE ST, DIETITARY, UTICA, NY 13501-5930
(315) 798-8104
(315) 798-8352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1055301
NY
Other
Enumeration date
06/12/2013
Last updated
05/14/2014
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