Individual
SUE STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETICIAN
Contact information
Practice address
75 JONES AND GIFFORD AVE, JAMESTOWN, NY 14701-2828
(716) 661-1541
Mailing address
880 E 2ND ST, JAMESTOWN, NY 14701-3824
(716) 661-1583
(716) 485-7234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713767
NY
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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