Individual
AUDRA STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
783 LIBRARY RD, ROCHESTER, NY 14627
(585) 275-2662
Mailing address
783 LIBRARY RD, ROCHESTER, NY 14627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713366
NY
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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