Individual
MISS JENNA RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
200 OHIO ST, MEDINA, NY 14103-1063
(585) 798-2000
Mailing address
2544 NIAGARA RD, LWR, NIAGARA FALLS, NY 14304-2021
(716) 909-7661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86040563
NY
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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