Utica Nutrition Services Certified Dietitian Nutritionist

NPI #1558038232 in Utica, New York

Provider Information

NPI Number: 1558038232
Entity Type: Organization
Organization Name: Utica Nutrition Services Certified Dietitian Nutritionist
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 30, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 2709 GENESEE ST STE 213
City: Utica
State: New York
ZIP Code: 13501-6222
Phone: (315) 922-3192

Authorized Official

Name: CLEANNE LYNN JOHNSON, CDN
Title: CERTIFIED DIETITIAN NUTRITIONIST
Phone: (315) 922-3192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X	Primary

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