DIANE JUNE DOUGLASS

COBLESKILL, NY
NPI1821210691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
(Licence: NY  004410)
Additional Taxonomies136A00000X Dietetic Technician, Registered
(Licence: NY  708965)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
Miss DIANE JUNE DOUGLASS CDN, DTR
178 GRANDVIEW DR BASSETT HOSPITAL OF SCHOHARIE COUNTY
COBLESKILL, NY 12043-5144
Phone number: 518-254-3403
Mailing Address
Miss DIANE JUNE DOUGLASS CDN, DTR
7 SHAPER AVE
CANAJOHARIE, NY 13317-1326
Phone number: