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Individual

LAURA SIENKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
30 HARRISON ST STE 250, JOHNSON CITY, NY 13790-2176
(607) 763-1810
Mailing address
4401 VESTAL PKWY E, VESTAL, NY 13850-3514

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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