Individual
NATALIE A HOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5865 S GATE DR, AUBURN, NY 13021-5335
(315) 406-0872
Mailing address
5865 S GATE DR, AUBURN, NY 13021-5335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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