Individual
KIMBERLY ANN LABRECQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
385 WATERVLIET SHAKER RD, LATHAM, NY 12110-4741
(518) 213-7526
Mailing address
385 WATERVLIET SHAKER RD, LATHAM, NY 12110-4741
(518) 213-7526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86035013
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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