Individual
MRS. JESSIE SHERRY LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDN
Contact information
Practice address
3495 BAILEY AVE, NUTRITION AND FOOD DEPT., BUFFALO, NY 14215-1129
(716) 834-9200
(716) 862-6374
Mailing address
1394 VANDERBILT AVE, NORTH TONAWANDA, NY 14120-2315
(716) 834-9200
(716) 862-6374
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
544851
NY
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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