Individual
TABITHA LYNN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6871
Mailing address
716 WILTON GANSEVOORT RD, GANSEVOORT, NY 12831-1242
(518) 209-4292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1015496
NY
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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