JEANNIE THERESE MUND

STATEN ISLAND, NY
NPI1356519797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  002995)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
-- JEANNIE THERESE MUND MPA CLC RD CDN
19 SCHOHARIE ST
STATEN ISLAND, NY 10301-4325
Phone number: 347-423-4192
Mailing Address
-- JEANNIE THERESE MUND MPA CLC RD CDN
PO BOX 50273
STATEN ISLAND, NY 10305-0273
Phone number: 347-423-4192
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