Individual
MRS. DANIELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEMORIAL DR, GOWANDA, NY 14070-1111
(716) 951-7252
(716) 951-7227
Mailing address
845 ROUTES 5 & 20, IRVING, NY 14081
(716) 951-7252
(716) 951-7227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067493
NY
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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