Individual
MRS. CYNTHIA DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
423 JEANETTE DR, UTICA, NY 13502-1924
(315) 272-7183
Mailing address
423 JEANETTE DR, UTICA, NY 13502-1924
(315) 272-7183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007244
NY
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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