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Organization
TANIESA STANTON
Active
Organization
TANIESA STANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIESA STANTON RD (OWNER)
(818) 445-9004
Entity
Organization
Contact information
Practice address
347 5TH AVE RM 1402, NEW YORK, NY 10016-5034
(818) 445-9004
(971) 591-8088
Mailing address
20421 GASPHER CT, SANTA CLARITA, CA 91350-8511
(818) 445-9004
(971) 591-8088
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
04/17/2020
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