Individual
TARA ROSE SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 N WOLFE ST, CMSCB100, BALTIMORE, MD 21287-3051
(410) 955-5787
(410) 614-9072
Mailing address
600 N WOLFE ST, CMSCB100, BALTIMORE, MD 21287-3051
(410) 955-5787
(410) 614-9072
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
992177
NY
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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