Individual
MRS. MICHELLE EASTERLY BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDN
Contact information
Practice address
5123 SHIRAZ LN, FAYETTEVILLE, NY 13066-2578
(315) 885-1050
Mailing address
5123 SHIRAZ LN, FAYETTEVILLE, NY 13066-2578
(315) 885-1050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
985871
NY
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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