Individual
JESSICA LEE ALTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
30 HATFIELD LN, SUITE 107, GOSHEN, NY 10924-6766
(845) 651-1400
Mailing address
5 PEVERO DR, UNIT 3, VERNON, NJ 07462-2570
(201) 297-2197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007920
NY
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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