Individual
JAMIE LEE COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
239 RESSIQUE RD, STORMVILLE, NY 12582-5734
(845) 721-3570
Mailing address
239 RESSIQUE RD, STORMVILLE, NY 12582-5734
(845) 721-3570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1044822
NY
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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