Individual
LAURA JEAN MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, CDN, CLC
Contact information
Practice address
14 FLOWER LN, MARCELLUS, NY 13108-1326
(315) 380-4787
Mailing address
14 FLOWER LN, MARCELLUS, NY 13108-1326
(315) 380-4787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008037
NY
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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