Individual provider · NPI-1

Jean Margaret Bigaouette, M.A.,R.D., CDE

Dietitian, Registered · Albany, NY

NPI number1457334229
StatusActive
Last updated in NPPESOct 14, 2011

Details

NPI
1457334229
Entity type
Individual (NPI-1)
Name
Ms. Jean Margaret Bigaouette
Credential
M.A.,R.D., CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 24, 2005
Last updated
Oct 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered000577-1NYYes

Practice location

460 Krumkill Rd
Albany, NY 12203-5948

Phone 518-482-8704 · Fax 518-482-7672

Mailing address

460 Krumkill Rd
Albany, NY 12203-5948

Phone 518-482-8704 · Fax 518-482-7672

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