Individual
JILL G HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CDE
Contact information
Practice address
51 OSWEGO ST, BALDWINSVILLE, NY 13027-2420
(315) 638-0264
Mailing address
51 OSWEGO ST, BALDWINSVILLE, NY 13027-2420
(315) 638-0264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002725-1
NY
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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