Tammy Alvarez Wiedeman RD, LD,N

NPI 1265643019 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1265643019
Gender Female
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3100 UNIVERSITY BLVD S
SUITE 220
JACKSONVILLE FL, 32216-2758, US
Phone (904) 724-2043
Fax
Business Location
1076 FEATHERWOOD CT
ATLANTIC BEACH FL, 32233-6913, US
Phone (904) 247-5588
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Florida
License Number ND4613
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According to our database, Mrs. Tammy Alvarez Wiedeman RD, LD,N NPI is 1265643019, taxonomy code is 133V00000X and license number is ND4613, license state is located at Florida. Tammy Alvarez Wiedeman RD, LD,N physically located at 3100 University Blvd S, Jacksonville FL, 32216-2758. NPI Number Tammy Alvarez Wiedeman RD, LD,N has the Individual type.

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1265643019 NPI number is provided on an as is basis without warranty of any kind. 1265643019 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Alvarez Wiedeman RD, LD,N are for informational purposes only.