Individual
BROOKE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7 ONONDAGA ST, SKANEATELES, NY 13152-1313
(315) 710-0080
Mailing address
69 N PARK AVE # 1, BUFFALO, NY 14216-2817
(716) 906-7570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011110
NY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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