Individual
JANINE KAE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
(716) 487-1802
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-8245
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
910255
NY
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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