Individual
MRS. MARY JO V PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
8160 WEHRLE DR, WILLIAMSVILLE, NY 14221-7241
(716) 634-0906
(716) 204-2725
Mailing address
10670 ROSEWOOD LN, CLARENCE, NY 14031-2325
(716) 759-0493
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
000829
NY
133V00000X
Registered Dietitian
000829
NY
Other
Enumeration date
11/21/2006
Last updated
09/11/2025
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