LISA MODESTI

FAIRPORT, NY
NPI1407226871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  718852)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- LISA MODESTI RD
20 BIRLING GAP
FAIRPORT, NY 14450-3916
Phone number: 585-729-9364
Mailing Address
-- LISA MODESTI RD
20 BIRLING GAP
FAIRPORT, NY 14450-3916
Phone number: 585-729-9364
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