Individual
JOAN MACBLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 IVY ST, ELMIRA, NY 14905-1646
(607) 737-4186
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002284
NY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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