Individual
MRS. DEBBIE ANN O'DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
ROUTE 52, SWAN LAKE, SWAN LAKE, NY 12783
(845) 292-6875
Mailing address
PO BOX 465, WURTSBORO, NY 12790-0465
(845) 699-6366
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001487
NY
133V00000X
Registered Dietitian
001487
NY
Other
Enumeration date
01/04/2007
Last updated
10/16/2007
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