Individual
SHANE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
133 PRATT ST, WATERTOWN, NY 13601-4300
(315) 785-4532
Mailing address
31 N MAIN ST, ADAMS, NY 13605-1124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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