Individual
MISS JOANNE MARIE GUNNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
24 MATINICOCK AVE, PORT WASHINGTON, NY 11050-2146
(617) 590-6568
(718) 566-3399
Mailing address
24 MATINICOCK AVE, PORT WASHINGTON, NY 11050-2146
(617) 590-6568
(718) 566-3399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
696296
NY
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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