Individual
MRS. BERNADETTE WEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR CDN
Contact information
Practice address
620 WESTFALL RD, ROCHESTER, NY 14620-4610
(585) 382-3100
Mailing address
3362 HEATHER BROOK LN, MACEDON, NY 14502-8727
(585) 382-3100
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
718474
NY
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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