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Organization
TANYA SUSSMAN RD, LLC
Active
Organization
TANYA SUSSMAN RD, LLC
Active
Other names
Nutrition Services
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA H SUSSMAN MS, RD, LD (EXECUTIVE DIRECTOR)
(216) 385-4084
Entity
Organization
Contact information
Practice address
5491 BANBURY DR, SOLON, OH 44139-1368
(216) 385-4084
Mailing address
5491 BANBURY DR, SOLON, OH 44139-1368
(216) 385-4084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 4580
OH
Other
Enumeration date
06/01/2006
Last updated
02/04/2021
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