The Nutrition Specialist, Llc

NPI 1205267630 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1205267630
Enumeration Date 12/11/2013
Last Updated 12/11/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TANYA L TANYA
Position CLINICAL DIETITIAN
Phone (570) 745-3776
Fax
Practice Location
460 MARKET ST
SUITE 212
WILLIAMSPORT PA, 17701-6385, US
Phone (570) 745-3776
Fax
Business Location
460 MARKET ST
SUITE 212
WILLIAMSPORT PA, 17701-6385, US
Phone (570) 745-3776
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Pennsylvania
License Number DN004977
Remove 1205267630 NPI Number
 

According to our database, The Nutrition Specialist, Llc NPI is 1205267630, taxonomy code is 133V00000X and license number is DN004977, license state is located at Pennsylvania. The Nutrition Specialist, Llc physically located at 460 Market St, Williamsport PA, 17701-6385. NPI Number 1033115704 has the healthcare provider type.

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1205267630 NPI number is provided on an as is basis without warranty of any kind. 1205267630 is maintained by the National Plan & Provider Enumeration System. The contents of The Nutrition Specialist, Llc are for informational purposes only.