Individual
MRS. MARY L CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
12 CLAY ST, DANSVILLE, NY 14437-1304
(607) 664-4803
Mailing address
12 CLAY ST, DANSVILLE, NY 14437-1304
(607) 664-4803
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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