Individual
MARY K WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1218 GERRADS CROSS, WEBSTER, NY 14580-9151
(585) 507-0408
Mailing address
1218 GERRADS CROSS, WEBSTER, NY 14580-9151
(585) 507-0408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8122376
NY
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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