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Individual
TINA MARLENE HORNBERGER
Active
Individual
TINA MARLENE HORNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN003273
PA
133V00000X
Registered Dietitian
Primary
DN003273
PA
136A00000X
Registered Dietetic Technician
926114
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102257169
—
PA
Enumeration date
02/11/2009
Last updated
11/01/2017
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