Individual
MRS. RENATE FRIEDA HERZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, CDN
Contact information
Practice address
215 TAYLOR RD., MOUNTAINVILLE, NY 10953
(845) 548-6375
Mailing address
P.O. BOX 43, MOUNTAINVILLE, NY 10953
(845) 548-6375
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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