Individual
KIMBERLY CLAIRE DEBUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL DIEITIAN
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-5622
(315) 624-5625
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003002
NY
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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