MISS Diane June Douglass, CDN, DTR

NPI #1821210691 in Cobleskill, New York

Provider Information

NPI Number
1821210691
Entity Type
Individual
Name
MISS Diane June Douglass, CDN, DTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietetic Technician, Registered
Credential
CDN, DTR
Enumeration Date
May 2, 2007
Last Updated
Sep 11, 2025

Practice Location

Address
178 GRANDVIEW DR
Address 2
BASSETT HOSPITAL OF SCHOHARIE COUNTY
ZIP Code
12043-5144
Phone
(518) 254-3403

Specialties & Taxonomy Codes

Specialty
Nutritionist
Dietetic Technician, Registered

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