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Individual
TIFFANY B CAPOBIANCO
Active
Individual
TIFFANY B CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITION CONSULTANT
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
363A00000X
Physician Assistant
Primary
68624
CA
363A00000X
Physician Assistant
Primary
PA6862
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
09/17/2013
Last updated
08/21/2026
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