Individual
AMY SHULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6411B DYSINGER RD, LOCKPORT, NY 14094-9398
(716) 266-6056
(716) 332-6412
Mailing address
6411B DYSINGER RD, LOCKPORT, NY 14094-9398
(716) 266-6056
(716) 332-6412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0072861
NY
Other
Enumeration date
02/14/2012
Last updated
12/08/2020
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