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Individual
TISA NEEMA ROSS
Active
Individual
TISA NEEMA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
NULL
133V00000X
Registered Dietitian
Primary
164005386
IL
133VN1005X
Renal Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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