MRS. Dianne M Fagan, R.D.

NPI #1558437756 in Niskayuna, New York

Provider Information

NPI Number
1558437756
Entity Type
Individual
Name
MRS. Dianne M Fagan, R.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
R.D.
Enumeration Date
Nov 28, 2006
Last Updated
Mar 5, 2008

Practice Location

Address
2310 NOTT ST E
Address 2
SUITE 100
ZIP Code
12309-4303
Phone
(518) 526-0004

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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