Individual
MS. JENNIFER DOROTHY REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
47A BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(716) 830-4160
Mailing address
21 WASHINGTON AVE, BATAVIA, NY 14020-2037
(716) 830-4160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005323-1
NY
Other
Enumeration date
02/01/2012
Last updated
04/08/2014
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