Individual
CECILIA HAGEN-REVELINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N, C.D.N
Contact information
Practice address
21 HILTON RD, DRYDEN, NY 13053-9709
(607) 288-3441
Mailing address
21 HILTON RD, DRYDEN, NY 13053-9709
(607) 288-3441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010284
NY
Other
Enumeration date
01/03/2022
Last updated
01/11/2022
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