Individual
MRS. KATHRYN MENNILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,CDN
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1046
(518) 583-8668
Mailing address
51 E. HIGH ST., BALLSTON SPA, NY 12020
(518) 322-5083
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960097
NY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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