Most Relevant Information
Provider Data
| NPI Number: | 1003359001 |
| Provider Name: | JONI KRISTINA GERKEN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 008792 |
Most Important Dates
| Enumeration Date: | 11/22/2016 |
| Last Updated: | 11/22/2016 |
Provider Practice Location
2233 STATE ROUTE 86
SARANAC LAKE
NY
129835644
Practice Location Phone/Fax
| Phone: | 5188972469 |
| Fax: |
Provider Mailing Location
2233 STATE ROUTE 86
PO BOX 471
SARANAC LAKE
NY
129835644
Provider Mailing Phone/Fax
| Phone: | 5188972469 |
| Fax: |