Individual
SUSAN JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6121 SLOCUM RD, ONTARIO, NY 14519-9111
(315) 333-5398
Mailing address
6121 SLOCUM RD, ONTARIO, NY 14519-9111
(315) 333-5398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13656
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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