Most Relevant Information
Provider Data
| NPI Number: | 1003570490 |
| Provider Name: | JANELLE EDWARDS RD, CDN, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86085288 |
Most Important Dates
| Enumeration Date: | 10/22/2021 |
| Last Updated: | 10/22/2021 |
Provider Practice Location
3 WOODROW AVE
TUPPER LAKE
NY
129861008
Practice Location Phone/Fax
| Phone: | 5185247610 |
| Fax: |
Provider Mailing Location
3 WOODROW AVE
TUPPER LAKE
NY
129861008
Provider Mailing Phone/Fax
| Phone: | 5185247610 |
| Fax: |