Individual
BETHANY GRACE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
46 PRINCE ST STE 3001, ROCHESTER, NY 14607-1023
(585) 602-0801
Mailing address
46 PRINCE ST STE 3001, ROCHESTER, NY 14607-1023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000000
NY
133V00000X
Registered Dietitian
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/06/2022
Last updated
08/14/2023
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