Individual
JESSICA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
Mailing address
52 PHEASANT RUN LN, LANCASTER, NY 14086-1138
(716) 912-2979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/17/2016
Last updated
11/22/2024
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