Individual
JO DRAGOON-MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
523 LAKE SHORE RD, WEST CHAZY, NY 12992-1803
(518) 569-0884
Mailing address
523 LAKE SHORE RD, WEST CHAZY, NY 12992-1803
(518) 569-0884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
704679
NY
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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