Individual
MS. JO ANN MARIE MALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDN
Contact information
Practice address
452 WHITE HAVEN RD, GRAND ISLAND, NY 14072
(716) 773-3309
Mailing address
452 WHITEHAVEN RD, GRAND ISLAND, NY 14072
(716) 773-3309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
209919
IL
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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