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Individual

SANDRA ANN DEGENNARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
3495 BAILEY AVE, NUTRITION DEPARTMENT, BUFFALO, NY 14215-1129
(716) 834-9200
(716) 862-6374
Mailing address
3495 BAILEY AVE, NUTRITION DEPARTMENT, BUFFALO, NY 14215-1129
(716) 834-9200
(716) 862-6374

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00995988
NY

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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