Individual
MS. MONIQUE DEKLEERMAEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
Mailing address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002774-1
NY
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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