Individual
MRS. JESSICA RICCHIAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-3664
(716) 568-3019
Mailing address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3698
(716) 568-3446
(716) 568-3019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007692
NY
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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