Individual
MINDY SUE DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2815 WILLARD AVE, OCEANSIDE, NY 11572
(516) 521-1482
Mailing address
2815 WILLARD AVE, OCEANSIDE, NY 11572
(516) 521-1482
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003092-1
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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