Individual
JULIA STANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
4900 BROAD RD, POB NORTH, SUITE 2B, SYRACUSE, NY 13215-2265
(315) 492-5036
Mailing address
4900 BROAD RD, POB NORTH, SUITE 2B, SYRACUSE, NY 13215-2265
(315) 492-5036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008955
NY
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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