Individual
CHERYL HARRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14747
(716) 664-8434
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-8434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000880-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000530707001
BLUE CROSS
NY
01
—
000880-1
LICENSE
NY
01
—
11932358
CAQH
NY
Enumeration date
11/17/2006
Last updated
06/05/2009
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