National Provider Identifier
Jo Ann Marie Mallo, MS RD CDN
Jo Ann Marie Mallo, MS RD CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Grand Island, NY and a listed phone number of (716) 773-3309.
Profile Overview
- NPI
- 1710141890
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 17, 2008
- Last Updated
- July 17, 2008
Practice Location
- 452 White Haven RD
- Grand Island, NY 14072
Phone: (716) 773-3309
Mailing Address
- 452 Whitehaven RD
- Grand Island, NY 14072
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1710141890
- Entity Type
- Individual
- Last Name
- Mallo
- First Name
- Jo Ann
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- MS RD CDN
- Mailing Street Address
- 452 Whitehaven RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072
- Mailing Country
- US
- Mailing Phone
- (716) 773-3309
- Practice Street Address
- 452 White Haven RD
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072
- Practice Country
- US
- Practice Phone
- (716) 773-3309
- Enumeration Date
- July 17, 2008
- Last Updated
- July 17, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)