MRS. Jillian Alexandra Kubala, R.D.

NPI #1457808222 in Westhampton, New York

Provider Information

NPI Number: 1457808222
Entity Type: Individual
Name: MRS. Jillian Alexandra Kubala, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Sep 8, 2016
Last Updated: Sep 8, 2016

Practice Location

Address: 38 S COUNTRY RD
City: Westhampton
State: New York
ZIP Code: 11977-1413
Phone: (631) 871-9856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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