Individual
MILDRED E LITSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 ELM ST, PENN YAN, NY 14527-1410
(315) 536-6241
(315) 536-8773
Mailing address
4516 STATE ROUTE 64, CANANDAIGUA, NY 14424-9309
(585) 229-2016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0024761
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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