Individual
JENNIFER DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
34 CEDARWOOD DR, BALLSTON LAKE, NY 12019-1036
(518) 487-1926
Mailing address
34 CEDARWOOD DR, BALLSTON LAKE, NY 12019-1036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009787
NY
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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